Connecticut Pathology Group Pc

LBN: Connecticut Pathology Group Pc
Connecticut Pathology Group Pc is an health care organization with primary practice located at 28 Crescent St , Middletown CT 06457-3654. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Connecticut Pathology Group Pc can be contacted via phone (860) 344-6174, or through Levine, Jonathan via phone (860) 344-6174.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 344-6174
Fax: (860) 344-6062
Website:
Map and Directions
Authorized official contact:
Name: Levine, Jonathan Doctor of Medicine (MD)
Phone: (860) 344-6174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 016547 Connecticut

Profile Details

NPI number 1740219625
LBN Legal business name Connecticut Pathology Group Pc
DBA Doing business as
Authorized official Levine, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740219625 NPPES
Connecticut Other 0077315 CIGNA GRP#
Connecticut MEDICAID 4053021 CIGNA GRP#
Connecticut Other 4832 CIGNA GRP#
Connecticut Other 500HBL066CT01 CIGNA GRP#
Connecticut Other 0039758 CIGNA GRP#

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