Healthcare Provider Details

I. General information

NPI: 1972604338
Provider Name (Legal Business Name): EASTERN CONNECTICUT HEMATOLOGY & ONCOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WASHINGTON ST STE 220
NORWICH CT
06360-2700
US

IV. Provider business mailing address

330 WASHINGTON ST STE 220
NORWICH CT
06360-2700
US

V. Phone/Fax

Practice location:
  • Phone: 860-886-8362
  • Fax: 860-886-9262
Mailing address:
  • Phone: 860-886-8362
  • Fax: 860-886-9262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANA DOWDELL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 860-886-8362