| Organization Name: | GROVEHILL MEDICAL CENTER, PC |
| NPI Number: | 1477715548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EARLE SITTAMBALAM (PRESIDENT) |
| Mailing Address: | 300 Kensington Ave New Britain |
| State: | CT US |
| Postal Code: | 060513916 |
| Phone Number: | 8602246222 |
| Fax Number: | 8602240766 |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 05603-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |