Organization
MEDICAL ONCOLOGY & HEMATOLOGY
Active
Other names
Diagnostic Hematology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA A WARANOWICZ (CEO)
(203) 389-7504
Entity
Organization
Contact information
Practice address
111 GOOSE LANE, SUITE 1300, GUILFORD, CT 06437
(203) 453-9192
(203) 453-0875
Mailing address
19 LUNAR DRIVE, MEDICAL ONCOLOGY AND HEMATOLOGY PC, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-8834
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLP0L0401
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLP0L0401
PUBLIC HEALTH DEPT LICENS
—
Enumeration date
10/06/2006
Last updated
08/22/2020
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