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Organization

NAUGATUCK VALLEY MRI LLC

Active
Parent organization
NAUGATUCK VALLEY RADIOLOGICAL ASSOCIATES PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAUGATUCK VALLEY RADIOLOGICAL ASSOCIATES PC
Authorized official
ROBERT GUMBARDO MD (MEDICAL DIRECTOR)
(203) 264-7999
Entity
Organization

Contact information

Practice address
1389 W MAIN ST, WATERBURY, CT 06708-3104
(203) 574-1311
(203) 573-1062
Mailing address
C/O NVRA 385 MAIN ST SOUTH, UNION SQUARE BLG 1, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004086858
CT
Enumeration date
07/24/2006
Last updated
02/20/2018
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