Organization
EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS G O'NEILL M.D. (PRESIDENT)
(860) 647-6487
Entity
Organization
Contact information
Practice address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-5236
Mailing address
PO BOX 206, NEW HAVEN, CT 06501-0206
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008172967
AETNA USHC GRP#
CT
05
—
04126521
—
CT
01
—
1104296
UNITED HC GRP#
CT
01
—
500HBL161CT02
BCBS GROUP#
CT
01
—
76164901
CTCARE GRP#
CT
01
—
A524580
OXFORD GRP#
CT
01
—
C009784
CHAMPUS TRICARE GRP#
CT
01
—
OR4388
HEALTHNET GRP#
CT
01
—
W1H29
EMPIRE BCBS GRP#
CT
Enumeration date
04/07/2007
Last updated
10/27/2014
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