Organization
MEDICAL ONCOLOGY & HEMATOLOGY PC
Active
Other names
Diagnostic Hematology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA A WARANOWICZ (CEO)
(203) 389-7504
Entity
Organization
Contact information
Practice address
350 SEYMOUR AVE, SUITE 6, DERBY, CT 06418-1338
(203) 734-1664
(203) 734-1665
Mailing address
19 LUNAR DRIVE, MEDICAL ONCOLOGY AND HEMATOLOGY PC, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL0459
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0095888
CLIA CMS
CT
01
—
CL0459
DEPT OF PUBLIC HEALTH LIC
CT
Enumeration date
10/03/2006
Last updated
03/23/2009
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