Individual
DENNIS SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 WASHINGTON ST, EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Mailing address
330 WASHINGTON ST, EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026872
CT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
026872
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001268721
—
CT
01
—
010026872CT02
BCBS
CT
01
—
0113957
AETNA
CT
Enumeration date
12/13/2005
Last updated
07/22/2013
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