Organization
NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KOHANSKI MD (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004089448
—
CT
Enumeration date
12/27/2005
Last updated
02/14/2018
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