Organization
RADIOLOGY ASSOCIATES OF WATERBURY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M SHAPIRO M.D. (PRESIDENT)
(203) 573-1800
Entity
Organization
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 573-1800
Mailing address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 573-1800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16335
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129350
WELLCARE
CT
01
—
35321959
AIMI
CT
01
—
50RADASSCCT01
BLUE SHIELD
CT
01
—
56010016335CT2
BLUE SHIELD NATIONAL ACCT
CT
01
—
ANC1144
OXFORD HEALTH PLAN
CT
Enumeration date
12/08/2006
Last updated
08/22/2020
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