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Organization

CONNECTICUT VALLEY RADIOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA A PICHETTE (PRACTICE MANAGER)
(860) 522-1101
Entity
Organization

Contact information

Practice address
19 WOODLAND ST, SUITE 15, HARTFORD, CT 06105-2372
(860) 522-1101
(860) 549-7092
Mailing address
19 WOODLAND ST, SUITE 15, HARTFORD, CT 06105-2372
(860) 522-1101
(860) 549-7092

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004187565
CT
01
15MRI0018CT01
ANTHEM BLUE CROSS AND BLUE SHIEL
CT
Enumeration date
12/03/2010
Last updated
12/03/2010
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