National Provider Identifier Database

CONNECTICUT PATHOLOGY GROUP PC
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

CONNECTICUT PATHOLOGY GROUP PC
28 CRESCENT ST
MIDDLETOWN, CT06457-3654
Phone: 860-344-6174
Fax: 860-344-6062
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X

* Indicates primary specialty

NPI Profile & details for CONNECTICUT PATHOLOGY GROUP PC

NPI Number 1740219625
Legal business name
LBN
CONNECTICUT PATHOLOGY GROUP PC
Authorized official JONATHAN LEVINE - (CHIEF)
Entity Organization
Organization subpart No
Enumeration date 07/02/2006
Last updated 08/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 016547
  • CT Medicaid: 4053021
  • CT Other: 0039758 AETNA/USHC GRP#
  • CT Other: 500HBL066CT01 BCBS GROUP#
  • CT Other: 0077315 CIGNA GRP#
  • CT Other: 4832 CONNECTICARE GROUP#

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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