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Contact Information

PATHOLOGY CONSULTANTS OF NEW LONDON, P.C.
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-444-5100
 Fax: 860-444-3709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PATHOLOGY CONSULTANTS OF NEW LONDON PC · (Female)

NPI # 1184655706
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2006
Last updated 10/24/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004121133
  • CT Other 2116927 AETNA/US HLTH GROUP#
  • CT Other 500HBL160CT01 BC/BS GROUP#
  • CT Other 3193248 CIGNA GROUP#
  • CT Other 744026 CONNECTICARE GROUP#
  • CT Other 032344 HEALTHNET GROUP#
  • CT Other C009155 TRI-CARE/CHAMPUS GROUP#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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