Healthcare Provider Details

I. General information

NPI: 1346363215
Provider Name (Legal Business Name): EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2007
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 UNION ST
VERNON CT
06066-3126
US

IV. Provider business mailing address

PO BOX 206
NEW HAVEN CT
06501-0206
US

V. Phone/Fax

Practice location:
  • Phone: 860-872-5236
  • Fax:
Mailing address:
  • Phone: 203-397-8000
  • Fax: 203-389-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS G O'NEILL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 860-647-6487