Central Connecticut Radiation Oncology PC
in Middletown, CT. Organization (NPI-2).
NPI number1902962905
StatusActive
Last updated in NPPESFeb 3, 2014
Details
- NPI
- 1902962905
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Connecticut Radiation Oncology PC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Feb 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes | |
| 207RX0202X | Internal Medicine, Medical Oncology | – | – |
Practice location
536 Saybrook RdMiddlesex Hospital Cancer Center
Middletown, CT 06457
Phone 860-704-0106 · Fax 860-704-0125
Mailing address
760 Saybrook Rd Bldg AMiddletown, CT 06457-4785
Phone 860-704-0106 · Fax 860-704-0125
Authorized official
Neal B Goldberg
Owner Partner
8602245520
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