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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

NPI Number 1558326991
LBN Legal business name EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC
Authorized official DENNIS O'NEILL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2006
Last updated 08/22/2020 - About 6 years ago
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
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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