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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, P.C.

NPI # 1588622591
LBN Legal business name CENTRAL CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Authorized official BARRY JACOBS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2006
Last updated 08/22/2020 - About 6 years ago
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#
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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