Healthcare Provider Details

I. General information

NPI: 1366493926
Provider Name (Legal Business Name): VALLEY IMAGING PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 NEW HAVEN RD
NAUGATUCK CT
06770-4762
US

IV. Provider business mailing address

799 NEW HAVEN RD
NAUGATUCK CT
06770-4762
US

V. Phone/Fax

Practice location:
  • Phone: 203-723-8470
  • Fax: 203-723-0640
Mailing address:
  • Phone: 203-723-8470
  • Fax: 203-723-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEWART BERLINER
Title or Position: MEDICAL
Credential: MD
Phone: 203-756-8911