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Contact Information

MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP
100 HAYNES ST FL 2
DEQUATTRO COMMUNITY CANCER CENTER
MANCHESTER, CT06040-4113
 Phone: 860-646-0670
 Fax: 860-643-9388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP

NPI # 1225045636
LBN Legal business name MEDICAL ONCOLOGY AND BLOOD DISORDERS, LLP
Authorized official DORIS BYREM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 06/18/2013 - About 13 years ago
Identifiers
CT Medicaid 004395085
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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