Organization
WATERBURY RADIATION ONCOLOGY ASSOCIATES, PC
Active
Other names
Waterbury Radiation Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A BITTERMAN MD (PRESIDENT)
(203) 575-5555
Entity
Organization
Contact information
Practice address
1075 CHASE PKWY, WATERBURY, CT 06708-2948
(203) 575-5555
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201151
—
CT
01
—
50WTBYRADCT01
ANTHEM BCBS
CT
01
—
OOR3664
PHS/HEALTHNET
CT
01
—
P1007815
OXFORD
CT
Enumeration date
04/06/2006
Last updated
07/21/2022
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