Hartford Pathology Associates, P.C.
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Hartford, CT
NPI 1063464477 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1063464477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- HARTFORD PATHOLOGY ASSOCIATES, P.C.
- Practice address
- 80 Seymour Street
Hartford, CT 06102-5037 - Phone
- (860) 545-2249
- Fax
- (860) 289-0742
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ewa J Gaszek
- Title
- Credentialer
- Phone
- (860) 282-4137
Practitioners 306
-
Ronald Noble Araneta III, M.D.
-
Margaret W Assaad, M.D.
-
Maria Baiulescu, M.D.
-
Fabiola Sara Balarezo, M.D.
-
Tinera McNair Buckley, M.D.
-
Joseph Arthur Digiuseppe, M.D.
-
Jonathan S.L Earle, M.D
-
Tony El Jabbour, M.D.
-
Mary Desiree Fiel-Gan, M.D.
-
Krzysztof Glomski, MD, PHD
-
Barry Jacobs, M.D.
-
Saverio Ligato, M.D.
-
Bela S Mandavilli, M.D.
-
Suha H Mishalani, M.D.
-
Susan Parker, MD
-
Todd B Sheridan, M.D.
-
Xianyuan Song, MD
-
Alexander Vdovenko, M.D.
-
Theresa M Voytek, M.D
-
Vandita Johari, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000745 | CT | Part B Supplier - Clinic/Group Practice | 8729989561 |
Receives reassigned benefits from 32 practitioners Practice locations: Hamden, CT; Willimantic, CT; Torrington, CT; Southington, CT; Norwich, CT; New Britain, CT; Meriden, CT; Hartford, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician |
207ZH0000X | CT | ||
| Anatomic Pathology Physician |
207ZP0101X | CT | ||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes | ||
| Clinical Pathology/Laboratory Medicine Physician |
207ZP0105X | CT |
Addresses
Primary practice location
80 Seymour Street
Hartford, CT 06102-5037
Mailing address
99 East River Drive
5TH Floor
East Hartford, CT 06108-7301
Phone (860) 282-4137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004123270 | Medicaid | CT |
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All providers in Hartford, CT · Anatomic Pathology & Clinical Pathology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.