Organization
NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC
Active
Other names
Community Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DELGALLO (EXECUTIVE DIRECTOR)
(860) 646-1222
Entity
Organization
Contact information
Practice address
100 HAYNES ST, MANCHESTER, CT 06040-4113
(860) 533-4000
Mailing address
2864 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30062-8345
(770) 693-2622
(770) 693-5821
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004214293
—
CT
01
—
2139370
AETNA MEDICARE
CT
01
—
2158621
AETNA USHC
CT
01
—
33006856
CIGNA
CT
01
—
61426856
SAGA
CT
01
—
68RDONC01CT1
ANTHEM BS
CT
01
—
954221
CONNECTICARE
CT
01
—
A1725354
OXFORD
CT
Enumeration date
12/21/2006
Last updated
07/21/2022
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