Healthcare Provider Details

I. General information

NPI: 1972686707
Provider Name (Legal Business Name): VIRGIL T RONA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 VINE STREET BLUE HILLS HOSPTIAL
HARTFORD CT
06112
US

IV. Provider business mailing address

500 VINE STREET BLUE HILLS HOSPTIAL
HARTFORD CT
06112
US

V. Phone/Fax

Practice location:
  • Phone: 860-293-6400
  • Fax: 860-293-6457
Mailing address:
  • Phone: 860-293-6400
  • Fax: 860-293-6457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number027646
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number027646
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: