Organization
MEDICAL ONCOLOGY & HEMATOLOGY PC
Active
Parent organization
MEDICAL ONCOLOGY & HEMATOLOGY PC
Other names
Diagnostic Hematology Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ONCOLOGY & HEMATOLOGY PC
Authorized official
MS. CYNTHIA A WARANOWICZ (CEO)
(203) 589-7504
Entity
Organization
Contact information
Practice address
1075 CHASE PARKWAY, WATERBURY, CT 06708
(203) 755-6311
(203) 755-6263
Mailing address
19 LUNAR DRIVE, MEDICAL ONCOLOGY & HEMATOLOGY PC, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-8854
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL0599
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0599
DPH
CT
01
—
G7D0664949
CLIA
CT
Enumeration date
10/03/2006
Last updated
09/12/2007
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