Organization
ELIZABETH A WHALEN MD LLC
Active
Organization
ELIZABETH A WHALEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH A WHALEN M.D. (MEMBER, ELIZABETH A. WHALEN, MD, LL)
(860) 489-6718
Entity
Organization
Contact information
Practice address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 489-6718
(860) 489-8270
Mailing address
PO BOX 150473, DEPT. 445, HARTFORD, CT 06115-0473
(860) 489-6718
(860) 489-8270
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
032771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132771800
BLUECARE FAMILY PLAN
—
01
—
010032771CT03
ANTHEM
CT
01
—
272652
PREFERRED ONE
—
01
—
759274
CONNECTICARE
—
01
—
P3016477
OXFORD HEALTH PLANS
—
Enumeration date
12/22/2006
Last updated
09/28/2007
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