Medical Oncology & Hematology PC
Clinical Medical Laboratory in Derby, CT. Organization (NPI-2).
NPI number1710071857
StatusActive
Last updated in NPPESMar 23, 2009
Details
- NPI
- 1710071857
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Oncology & Hematology PC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Mar 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | CL0459 | CT | Yes |
Other names
- Diagnostic Hematology Lab (Doing Business As)
Practice location
350 Seymour AveSuite 6
Derby, CT 06418-1338
Phone 203-734-1664 · Fax 203-734-1665
Mailing address
19 Lunar DriveMedical Oncology And Hematology PC
Woodbridge, CT 06525
Phone 203-389-7504 · Fax 203-389-1666
Authorized official
Cynthia A Waranowicz
Ceo
2033897504
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