Organization
CONNECTICUT ONCOLOGY&HEMATOLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN STEPHEN LOWENTHAL M.D. (GENERAL PARTNER)
(860) 482-5384
Entity
Organization
Contact information
Practice address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-4951
Mailing address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-4951
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
003622
CT
364SX0200X
Oncology Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004049763
—
CT
05
—
008002184
—
CT
01
—
CD0030
PALMETTO GBA-RR RETIREMENT
—
Enumeration date
07/07/2006
Last updated
06/21/2018
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