Organization
CONNECTICUT ONCOLOGY & HEMATOLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN S LOWENTHAL M.D. (PHYSICIAN)
(860) 482-5384
Entity
Organization
Contact information
Practice address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-5072
Mailing address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-5072
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
07D0100617
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004118528
—
CT
Enumeration date
04/09/2008
Last updated
06/30/2008
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