is a Diagnostic Radiology in Waterbury, Connecticut. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1700837374. The last update date is .
's current location address is 134 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037568911 and fax number 2035740548. The mailing address for is 134 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 134 Grandview Ave, Waterbury, Connecticut |
| Phone Number | 2037568911 |
| Fax Number | 2035740548 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700837374 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 134 Grandview Ave |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67082507 |
| Phone Number | 2037568911 |
| Fax Number | 2035740548 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4000808 | CT | -- |
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