| Eastern Connecticut Hematology & Oncology Associates Pc | |
|
330 Washington St Ste 220 Norwich CT 06360-2700 | |
| (860) 886-8362 | |
| (860) 886-9262 |
| Full Name | Eastern Connecticut Hematology & Oncology Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Washington St Ste 220, Norwich, Connecticut |
| Authorized Official Name and Position | Dana Dowdell (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8608868362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Connecticut Hematology & Oncology Associates Pc 330 Washington St Ste 220 Norwich CT 06360-2700 Ph: (860) 886-8362 | Eastern Connecticut Hematology & Oncology Associates Pc 330 Washington St Ste 220 Norwich CT 06360-2700 Ph: (860) 886-8362 |
| NPI Number | 1972604338 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 3870552094 |
|---|---|
| Medicare Enrollment ID | O20041005000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972604338 | NPI | - | NPPES |
| 004396174 | Medicaid | CT | |
| C00833 | Other | CT | MEDICARE PTAN |
| Provider Name | Mandeep Dhami |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1639154628 PECOS PAC ID: 9032145222 Enrollment ID: I20050711000271 |
| Provider Name | Kandhasam Jagathambal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043295033 PECOS PAC ID: 8325075666 Enrollment ID: I20050719000736 |
| Provider Name | Dinesh Kapur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538144522 PECOS PAC ID: 7315954914 Enrollment ID: I20060307000341 |
| Provider Name | Jie Yang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386719060 PECOS PAC ID: 8325137920 Enrollment ID: I20071205000140 |
| Provider Name | Jane P Genido-trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184876708 PECOS PAC ID: 4880742592 Enrollment ID: I20090507000459 |
| Provider Name | Dennis E Slater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447235486 PECOS PAC ID: 5597724716 Enrollment ID: I20101019000763 |
| Provider Name | Anca Bulgaru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659356640 PECOS PAC ID: 9335332550 Enrollment ID: I20101020001199 |
| Provider Name | Allison K Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396045035 PECOS PAC ID: 3577747575 Enrollment ID: I20110418000062 |
| Provider Name | Vanessa Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326047549 PECOS PAC ID: 0143423731 Enrollment ID: I20110502000260 |
| Provider Name | Katelyn M Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601665 PECOS PAC ID: 1355571118 Enrollment ID: I20140224001459 |
| Provider Name | Nicole G Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699144071 PECOS PAC ID: 4981914827 Enrollment ID: I20151105001804 |
| Provider Name | Alfred J Cretella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881645976 PECOS PAC ID: 4688721228 Enrollment ID: I20170315000971 |
| Provider Name | Phyllis Kelliher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598101925 PECOS PAC ID: 8527200518 Enrollment ID: I20181121000698 |
| Provider Name | Raphaella V Daggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922529098 PECOS PAC ID: 9032463591 Enrollment ID: I20190111000987 |
| Provider Name | Gino Bottino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881705838 PECOS PAC ID: 0840102380 Enrollment ID: I20190718002738 |
| Provider Name | Pouyan N Changizzadeh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982047981 PECOS PAC ID: 3779715339 Enrollment ID: I20190829000953 |
| Provider Name | Kristen M Joly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417579897 PECOS PAC ID: 3870904790 Enrollment ID: I20201125002332 |
| Provider Name | Alexandra M Femc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255005120 PECOS PAC ID: 6204229339 Enrollment ID: I20220211001854 |
| Provider Name | Karolyn Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447997481 PECOS PAC ID: 4082082094 Enrollment ID: I20221123001064 |
| Provider Name | Smitha Mellacheruvu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548330970 PECOS PAC ID: 6800896531 Enrollment ID: I20240610000205 |
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