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Organization
MEDICAL ONCOLOGY & HEMATOLOGY, PC
Active
Organization
MEDICAL ONCOLOGY & HEMATOLOGY, PC
Active
Other names
Diagnostic Hematology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA COPPOLA MHA (BUSINESS MANAGER)
(203) 389-7504
Entity
Organization
Contact information
Practice address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666
Mailing address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001459
—
CT
Enumeration date
06/24/2006
Last updated
10/11/2011
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