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Organization

GREATER WATERBURY IMAGING CENTER LIMITED PARTNERSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH S. KELSON (CHIEF FINANCIAL OFFICER)
(949) 282-6000
Entity
Organization

Contact information

Practice address
68 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7674
(203) 573-6255
Mailing address
PO BOX 150473, DEPT. 335, HARTFORD, CT 06115-0473
(949) 282-6000

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
04/19/2006
Last updated
05/05/2011
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