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Contact Information

CENTRAL CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
100 GRAND ST
NEW BRITAIN, CT06052-2016
 Phone: 860-224-5584
 Fax: 860-224-5946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

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

NPI # 1588622591
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 14325
  • CT Medicaid 4199057
  • CT Other 2215846 AETNA/USHC GRP#
  • CT Other 500HBL433CT02 BC/BS BRADLEY GRP#
  • CT Other 500HBL433CT01 BC/CS NB GRP#
  • CT Other 004199057P2 BLUE CARE GRP # BRADLEY
  • CT Other 004199057P1 BLUE CARE GRP # NB
  • CT Other 5154614 CIGNA GRP#
  • CT Other 615577 CONNECTICARE GRP#
  • CT Other 0V6399 HEALTHNET GRP#
  • CT Other 1104295 UNITED HEALTHCARE GRP#
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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