Organization
SAINT RAPHAEL MR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZENON PROTOPAPAS MD (MEDICAL DIRECTOR)
(203) 789-4120
Entity
Organization
Contact information
Practice address
330 ORCHARD ST, NEW HAVEN, CT 06511-4417
(203) 789-4120
(203) 789-5183
Mailing address
11 LUNAR DR, WOODBRIDGE, CT 06525-2320
(203) 298-9113
(203) 298-9106
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004088896
—
CT
Enumeration date
08/31/2005
Last updated
02/01/2011
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