Organization
RADIOLOGIC ASSOC OF MIDDLETOWN PC
Active
Parent organization
RADIOLOGIC ASSOC OF MIDDLETOWN PC
Other names
West Haven Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGIC ASSOC OF MIDDLETOWN PC
Authorized official
ERIK PINGOUD MD (PRESIDENT)
(860) 346-8481
Entity
Organization
Contact information
Practice address
687 CAMPBELL AVE, WEST HAVEN, CT 06515
(203) 934-4482
(203) 934-8803
Mailing address
PO BOX 931, 330 S MAIN ST, MIDDLETOWN, CT 06457
(860) 346-8481
(860) 346-8836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
09/19/2007
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