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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, P.C.

NPI # 1184655706
LBN Legal business name PATHOLOGY CONSULTANTS OF NEW LONDON, P.C.
Authorized official MARIA VICTORIA REYES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 10/24/2014 - About 12 years ago
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#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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