Organization
NEW LONDON CANCER CENTER, P.C.
Active
Other names
New London Cancer Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITHLESH GOVIL M.D. (PHYSICIAN/OWNER)
(860) 443-4455
Entity
Organization
Contact information
Practice address
196 PARKWAY S, SUITE 303, WATERFORD, CT 06385-1234
(860) 443-4455
(860) 447-8961
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(866) 861-9119
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004222600
—
CT
01
—
008022601
MEDICAID APRN GROUP
CT
Enumeration date
05/18/2006
Last updated
09/25/2013
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