Organization
EASTERN CT HEMATOLOGY & ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ALEXANDER (CREDENTIALING SPECIAILIST)
(916) 233-8607
Entity
Organization
Contact information
Practice address
330 WASHINGTON ST STE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Mailing address
330 WASHINGTON ST, SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247145
—
CT
05
—
004396174
—
CT
Enumeration date
02/07/2007
Last updated
05/30/2024
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