Provider Type Icon

CENTRAL CONNECTICUT RADIATION ONCOLOGY PC NPI 1841336849


NPI Information

NPI: 1841336849
Provider Name: CENTRAL CONNECTICUT RADIATION ONCOLOGY PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
100 GRAND ST
HOSPITAL OF CENTRAL CT
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 704-0106
Get Directions

CENTRAL CONNECTICUT RADIATION ONCOLOGY PC is a radiation oncology radiology in New Britain, CT. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CENTRAL CONNECTICUT RADIATION ONCOLOGY PC NPI is 1841336849. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 GRAND ST
HOSPITAL OF CENTRAL CT
NEW BRITAIN, CT
ZIP 06052-016
Phone: (860) 704-0106
Fax: (860) 704-0125

The provider's authorized official is Neal B. Goldberg .
The authorized official title is Owner Partner and has the following contact phone number (860) 224-5520.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical OncologyNo
22085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C00787MEDICARE PIN
2CCRO-4074712MEDICAIDCONNECTICUT
3E01279MEDICARE UPINCONNECTICUT
4E01278MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.