Organization
GROVEHILL MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLE SITTAMBALAM MD (PRESIDENT)
(860) 224-6231
Entity
Organization
Contact information
Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6222
(860) 224-0766
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6231
(860) 224-6260
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
05603-01
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15MRI0155CT01
BCBS
CT
Enumeration date
06/30/2008
Last updated
06/30/2008
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