Organization
CANCER SCREENING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISSE D CLEMONS FERRARA MD (OWNER)
(860) 303-9000
Entity
Organization
Contact information
Practice address
9 CASTLE HILL RD, PAWCATUCK, CT 06379-1958
(860) 303-9000
(860) 599-3479
Mailing address
89 CASTLE HILL RD, PAWCATUCK, CT 06379-1978
(860) 303-9000
(860) 599-3479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048178
CT
207Q00000X
Family Medicine Physician
048178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048178
PHYSICIAN LICENSE
CT
01
—
150089
NEW YORK LICENSE
CT
Enumeration date
04/03/2010
Last updated
04/11/2010
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