Organization
CENTRAL CONNECTICUT RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL B GOLDBERG MD (OWNER PARTNER)
(860) 224-5520
Entity
Organization
Contact information
Practice address
536 SAYBROOK RD, MIDDLESEX HOSPITAL CANCER CENTER, MIDDLETOWN, CT 06457
(860) 704-0106
(860) 704-0125
Mailing address
760 SAYBROOK RD BLDG A, MIDDLETOWN, CT 06457-4785
(860) 704-0106
(860) 704-0125
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
—
CCRO4074712
—
CT
Enumeration date
12/28/2006
Last updated
02/03/2014
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