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Organization
NEW LONDON CANCER CENTER, P.C.
Active
Organization
NEW LONDON CANCER CENTER, P.C.
Active
Other names
New London Cancer Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITHLESH GOVIL M.D. (PHYSICIAN/OWNER)
(860) 443-4455
Entity
Organization
Contact information
Practice address
196 PARKWAY S, SUITE 303, WATERFORD, CT 06385-1234
(860) 443-4455
(860) 447-8961
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(866) 861-9119
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004222600
—
CT
01
—
008022601
MEDICAID APRN GROUP
CT
Enumeration date
05/18/2006
Last updated
09/25/2013
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