Organization
NORTHEAST REGIONAL RADIATION ONCOLOGY NETWORK INC
Active
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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