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Organization

CONNECTICUT ONCOLOGY&HEMATOLOGY, LLP

Active
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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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