Organization
MEDICAL ONCOLOGY & HEMATOLOGY PC
Active
Parent organization
MEDICAL ONCOLOGY & HEMATOLOGY PC
Other names
Diagnostic Hematology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ONCOLOGY & HEMATOLOGY PC
Authorized official
MS. CYNTHIA A WARANOWICZ (CEO)
(203) 389-7504
Entity
Organization
Contact information
Practice address
240 INDIAN RIVER RD, SUITE A1, ORANGE, CT 06477-3649
(203) 795-1664
(203) 795-1665
Mailing address
19 LUNAR DRIVE, MEDICAL ONCOLOGY AND HEMATOLOGY PC, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL0172
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0098236
CMS CLIA
CT
01
—
CL0172
DEPT OF PUBLIC HEALTH LIC
CT
Enumeration date
10/06/2006
Last updated
03/23/2009
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