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NPI Code Detail

MEDICARE: DENNIS SLATER MD

MEDICARE:   DENNIS  SLATER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician026872CT
2207R00000XInternal Medicine Physician026872CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20113957OTHERCTAETNA
3010026872CT02OTHERCTBCBS

General Provider Information

NPI Number : 1447235486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS SLATER MD
Provider Business Mailing Address
First Line : 330 WASHINGTON ST
Second Line : EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220
City : NORWICH
State : CT
Zip : 06360-2700
Country : US
Telephone Number : 860-886-8362
Fax Number : 860-886-9262
Provider Business Practice Location Address
First Line : 330 WASHINGTON ST
Second Line : EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220
City : NORWICH
State : CT
Zip : 06360-2700
Country : US
Telephone Number : 860-886-8362
Fax Number : 860-886-9262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/22/2013

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Directions to “ DENNIS SLATER MD” Practice Location

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