Organization
EASTERN CONNECTICUT IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED S METZGER MD (PARTNER)
(860) 646-1222
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
(860) 533-3498
Mailing address
341 E CENTER ST, PMB #141, MANCHESTER, CT 06040-4445
(860) 646-1222
(860) 533-3498
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000188
—
CT
Enumeration date
08/09/2006
Last updated
08/22/2020
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