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WATERBURY RADIATION ONCOLOGY ASSOCIATES PC NPI 1053373605


NPI Information

NPI: 1053373605
Provider Name: WATERBURY RADIATION ONCOLOGY ASSOCIATES, PC

Doing Business As: WATERBURY RADIATION ONCOLOGY ASSOCIATES

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1075 CHASE PKWY
WATERBURY, CT
ZIP 06708
Phone: (203) 575-5555
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WATERBURY RADIATION ONCOLOGY ASSOCIATES, PC is a radiation oncology radiology in Waterbury, 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. WATERBURY RADIATION ONCOLOGY ASSOCIATES, PC NPI is 1053373605. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Waterbury Radiation Oncology Associates.

The provider's business location address is:

1075 CHASE PKWY
WATERBURY, CT
ZIP 06708-948
Phone: (203) 575-5555

The provider's authorized official is Jeffrey A Bitterman .
The authorized official title is President and has the following contact phone number (203) 575-5555.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 7/11/2018.


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
12085R0001XRadiologyRadiation Oncology=========CONNECTICUTYes

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
150WTBYRADCT01OTHERCONNECTICUTANTHEM BCBS
2OOR3664OTHERCONNECTICUTPHS/HEALTHNET
3001201151MEDICAIDCONNECTICUT
4P1007815OTHERCONNECTICUTOXFORD

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: 11/14/2023

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