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Contact Information

EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC
71 HAYNES ST
MANCHESTER, CT06040-4131
 Phone: 860-647-6487
 Fax: 860-647-6447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EASTERN CONNECTICUT PATHOLOGY CONSULTANTS PC · (Female)

NPI Number 1558326991
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 4126521
  • CT Other 500HBL161CT01 BLUE CROSS GROUP #
  • CT Other 500HBL161CT02 BLUE CROSS GRP ROCKVILLE
  • CT Other C009784 CHAMPUS TRICARE
  • CT Other 76164901 CONNECTICARE
  • CT Other W1H29 EMPIRE BC/BS
  • CT Other OR4388 HEALTHNET
  • CT Other A524580 OXFORD
  • CT Other 1104296 UHC
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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