| Connecticut Biopsy Center | |
|
888 White Plains Rd Suite 206 Trumbull CT 06611-4552 | |
| (203) 455-0101 | |
| (203) 459-8555 |
| Full Name | Connecticut Biopsy Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 888 White Plains Rd, Trumbull, Connecticut |
| Authorized Official Name and Position | Neill T Specht (PHYSICIAN / OWNER) |
| Authorized Official Contact | 2034450101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Biopsy Center 888 White Plains Rd Suite 206 Trumbull CT 06611-4552 Ph: (203) 455-0101 | Connecticut Biopsy Center 888 White Plains Rd Suite 206 Trumbull CT 06611-4552 Ph: (203) 455-0101 |
| NPI Number | 1033439039 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Medicare PECOS PAC ID | 0547384471 |
|---|---|
| Medicare Enrollment ID | O20100830001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033439039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27045 (Connecticut) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 27045 (Connecticut) | Secondary |
| Provider Name | Neil T Specht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861473498 PECOS PAC ID: 8123076494 Enrollment ID: I20050104000693 |
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