Individual
DR. MICHAEL T. O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106-5501
(860) 246-6589
(860) 560-2849
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 291-6554
(860) 528-0778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
037090
CT
2085R0202X
Diagnostic Radiology Physician
246191
MA
2085R0202X
Diagnostic Radiology Physician
33221
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001370907
—
CT
01
—
010037090CT01
ANTHEM BC/BS
CT
01
—
A2516306
OXFORD
CT
Enumeration date
12/21/2005
Last updated
10/04/2024
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