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Organization

EASTERN CT HEMATOLOGY & ONCOLOGY

Active
Parent organization
EASTERN CT HEMATOLOGY & ONCOLOGY
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN CT HEMATOLOGY & ONCOLOGY
Authorized official
JENNIFER ALEXANDER (CREDENTIALING SPECIALIST)
(916) 233-8607
Entity
Organization

Contact information

Practice address
330 WASHINGTON ST STE 220, NORWICH, CT 06360-2700
(860) 912-2147
(860) 886-9262
Mailing address
330 WASHINGTON ST STE 220, NORWICH, CT 06360-2700
(860) 912-2147
(860) 886-9262

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004396174
CT
Enumeration date
10/25/2022
Last updated
05/30/2024
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