Organization
CENTRAL CONNECTICUT RADIATION ONCOLOGY PC
Active
Organization
CENTRAL CONNECTICUT RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL B. GOLDBERG (OWNER PARTNER)
(860) 224-5520
Entity
Organization
Contact information
Practice address
100 GRAND ST, HOSPITAL OF CENTRAL CT, NEW BRITAIN, CT 06052-2016
(860) 704-0106
(860) 704-0125
Mailing address
760 SAYBROOK RD BLDG A, MIDDLETOWN, CT 06457-4785
(860) 704-0106
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCRO-4074712
—
CT
Enumeration date
01/29/2007
Last updated
02/06/2014
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