Organization
NEW LONDON CANCER CENTER, P.C
Active
Parent organization
NEW LONDON CANCER CENTER, INC
Other names
New London Cancer Center, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LONDON CANCER CENTER, INC
Authorized official
DR. MITHLESH GOVIL M.D. (PHYSICIAN/OWNER)
(860) 443-4455
Entity
Organization
Contact information
Practice address
196 PARKWAY S, SUITE 303, WATERFORD, CT 06385-1219
(860) 443-4455
(860) 447-8961
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
(860) 444-0074
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CT
Other
Enumeration date
06/14/2006
Last updated
09/04/2007
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