Individual
ELIZABETH ANN WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 KENNEDY DR, LOWER LEVEL, TORRINGTON, CT 06790-3096
(860) 489-6718
(860) 489-8270
Mailing address
200 KENNEDY DR, LOWER LEVEL, TORRINGTON, CT 06790-3096
(860) 489-6718
(860) 489-8270
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
032771
CT
2085R0203X
Therapeutic Radiology Physician
032771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001327718
—
CT
Enumeration date
06/11/2006
Last updated
12/01/2020
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