Organization
HARTFORD RADIATION ONCOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIM (TREASURER)
(860) 972-2803
Entity
Organization
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106
(860) 545-2803
(860) 545-4002
Mailing address
PO BOX 1962, BRATTLEBORO, VT 05302-1962
(770) 693-2622
(770) 693-5821
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004065512
—
CT
Enumeration date
09/21/2005
Last updated
07/21/2022
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