Organization
HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD P EHRLICH M.D. (PRESIDENT)
(203) 797-1770
Entity
Organization
Contact information
Practice address
67 SAND PIT RD, SUITE 105, DANBURY, CT 06810-4032
(203) 797-1770
(203) 796-7839
Mailing address
67 SAND PIT RD, DANBURY, CT 06810-4032
(203) 797-1770
(203) 796-7839
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000031
MEDICARE PROVIDER NUMBER
CT
01
—
630000011
MEDICARE PROVIDER NUMBER
CT
Enumeration date
08/01/2007
Last updated
03/25/2013
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