Healthcare Provider Details

I. General information

NPI: 1538311592
Provider Name (Legal Business Name): TORRINGTON RADIOLOGISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LITCHFIELD ST
TORRINGTON CT
06790-6679
US

IV. Provider business mailing address

PO BOX 610
WINDSOR CT
06095-0610
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-7314
  • Fax:
Mailing address:
  • Phone: 860-489-7314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN D GO
Title or Position: MD
Credential:
Phone: 860-489-7314