Organization Name: | WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC. |
NPI Number: | 1023062502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M MURPHY (PRESIDENT/CEO) |
Mailing Address: | 20 Germantown Road Danbury |
State: | CT US |
Postal Code: | 06810 |
Phone Number: | 2037398960 |
Fax Number: | 2037309963 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |