Medical Oncology & Hematology, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MEDICAL ONCOLOGY & HEMATOLOGY, PC

Doing business as

Diagnostic Hematology Lab

Practice address

19 Lunar Drive
Woodbridge, CT 06525

Phone

(203) 389-7504

Fax

(203) 389-1666

NPI assigned

Jun 24, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Coppola, MHA

Title

Business Manager

Phone

(203) 389-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diagnostic Hematology Lab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1073549648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY & HEMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "203-389-7504",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001459",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Hematology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlynn Ann Mascia
• Nicole Masciarelli, MS, SLP
• Mark Mattie, M.D.
• Jodi Mazaleski, BCBA
• Irene McKenna
• Meet Me There Clinical Counseling LLC
• Luke Melsenti, DC
• Shaylice Michelle Meserole, APRN
• Michel Jean-Baptiste, MD, LLC
• Erin Michelle Migliaro, APRN

• Hematology & Oncology Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Hematology & Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.