Central Connecticut Radiation Oncology Pc
LBN: Central Connecticut Radiation Oncology Pc
Central Connecticut Radiation Oncology Pc is an health care organization with primary practice located at 536 Saybrook Rd Middlesex Hospital Cancer Center, Middletown CT 06457. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is the primary health care specialty.
Central Connecticut Radiation Oncology Pc can be contacted via phone (860) 704-0106, or through Goldberg, Neal B via phone (860) 224-5520.
Contact Information
Primary practice address
536 Saybrook Rd Middlesex Hospital Cancer Center
Middletown CT 06457
Phone: (860) 704-0106
Fax: (860) 704-0125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1902962905 |
|---|---|
| LBN Legal business name | Central Connecticut Radiation Oncology Pc |
| DBA Doing business as | |
| Authorized official | Goldberg, Neal B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Feb 3rd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902962905 | NPPES |
| Connecticut | MEDICAID | CCRO4074712 |
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