Individual
PRIYA P ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 832-8150
(860) 348-4873
Mailing address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 801-6759
(860) 348-4873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047089
CT
208M00000X
Hospitalist Physician
047089
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012114140005
—
PA
01
—
1544939
GATEWAY HEALTH PLAN
—
01
—
1596801
HIGHMARK BLUE SHIELD
—
01
—
184635
UNISON
—
01
—
20051965
AMERIHEALTH MERCY
—
01
—
2274055000
IBC
—
01
—
50059750
CBC
—
Enumeration date
06/10/2006
Last updated
05/09/2013
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