MEDICAL ONCOLOGY & HEMATOLOGY, PC (NPI# 1073549648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073549648 |
| Entity Type | Organization |
| Organization Name | MEDICAL ONCOLOGY & HEMATOLOGY, PC |
| Other Organization Name | DIAGNOSTIC HEMATOLOGY LAB |
| Practice Address |
19 Lunar Drive Woodbridge CT 06525 |
| Practice Telephone | 2033897504 |
| Practice Fax Number | 2033891666 |
| Mailing Telephone | 2033897504 |
| Mailing Fax Number | 2033891666 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | SANDRA COPPOLA (BUSINESS MANAGER) |
| Authorized Official Telephone | 2033897504 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004001459 | 05 |
| Other Name | Type Code |
|---|---|
| Diagnostic Hematology Lab | Doing Business As Name - Organization |
| Street Address |
19 LUNAR DRIVE |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407802671 | Hamed Khosravi | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2006-05-26 |
| 1811331085 | Navid Mokhtari Amirmajdi | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2013-04-18 |
| 1417260472 | Ghana Kang | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2010-07-20 |
| 1770760704 | Geoffrey D Moorer | Internal Medicine | 2280 Opitz Blvd, Suite 300, Woodbridge, VA 22191-3362 | 2008-01-22 |
| 1639379308 | Mitul Gandhi | Internal Medicine | 2280 Opitz Blvd, Suite 300, Woodbridge, VA 22191-3362 | 2007-07-20 |
| 1912064585 | Northern Virginia Hematology Oncology Associates PC | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2007-01-03 |
| 1851458426 | Masoom M Kandahari Md PC | Internal Medicine | 2280 Opitz Blvd, Ste 220, Woodbridge, VA 22191-3362 | 2007-01-03 |
| 1467448100 | Masoom M Kandahari | Internal Medicine | 2280 Opitz Blvd, #220, Woodbridge, VA 22191-3362 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751907 | David S Fischer | Internal Medicine | 17 Abigail St, Milford, CT 06460-7918 | 2013-11-14 |
| 1265746879 | Eric Bleickardt | Internal Medicine | 3 Hidden Brook Rd, Hamden, CT 06518-1764 | 2010-08-06 |
| 1467763946 | Kelsey Thompson Martin | Internal Medicine | 240 Indian River Rd Ste A1, Orange, CT 06477-3690 | 2010-06-29 |
| 1780907295 | Kenneth L Sacks | Internal Medicine | 10 Oyster Landing Rd, Milford, CT 06460-6566 | 2010-03-11 |
| 1396981668 | Michael W Rosen | Internal Medicine | 32 Mackay Farm Rd, Woodbury, CT 06798-2509 | 2008-12-17 |
| 1083879134 | Jia Li | Internal Medicine | 950 Campbell Ave # 111d, West Haven, CT 06516-2770 | 2008-07-28 |
| 1760643407 | Sudhanshu Bharat Mulay | Internal Medicine | 114 Woodland Street / Cancer Center, Saint Francis Medical Group, Inc, Hartford, CT 06105-0000 | 2008-06-24 |
| 1194938324 | Anamika Katoch | Internal Medicine | 1075 Chase Pkwy Ste B, Harold Leever Cancer Center, Waterbury, CT 06708-2948 | 2007-05-07 |
| 1760694327 | Joseph Donadio | Internal Medicine | 140 Blue Hills Rd, Durham, CT 06422-3100 | 2007-05-04 |
| 1720136757 | Wylie David Hosmer | Internal Medicine | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on MEDICAL ONCOLOGY & HEMATOLOGY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.