Organization
EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS G O'NEILL M.D. (PRESIDENT)
(860) 647-6487
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 647-6487
(860) 647-6447
Mailing address
PO BOX 206, NEW HAVEN, CT 06501-0206
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104296
UHC
CT
05
—
4126521
—
CT
01
—
500HBL161CT01
BLUE CROSS GROUP #
CT
01
—
500HBL161CT02
BLUE CROSS GRP ROCKVILLE
CT
01
—
76164901
CONNECTICARE
CT
01
—
A524580
OXFORD
CT
01
—
C009784
CHAMPUS TRICARE
CT
01
—
OR4388
HEALTHNET
CT
01
—
W1H29
EMPIRE BC/BS
CT
Enumeration date
04/19/2006
Last updated
08/22/2020
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