Consultants in Pathology PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CONSULTANTS IN PATHOLOGY PC

Practice address

56 Franklin St
Waterbury, CT 06706-1281

Phone

(203) 709-6053

Fax

(203) 709-3156

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

William Frederick, MD

Title

President

Phone

(203) 709-6053

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1790795722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6305",
            "address_2": "CHURCH STREET STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102496305",
            "telephone_number": "800-214-2888",
            "fax_number": "207-753-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061281",
            "telephone_number": "203-709-6053",
            "fax_number": "203-709-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-709-6053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004114914",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecticut Renaissance, Inc
• Connecticut Renaissance, Inc.
• Connecticut Renaissance, Inc.
• Connecticut Smiles LLC
• Douglas P Connelly, CAC
• Consulting Pathologists of Connecticut, P.C.
• Kelly T. Conte, P.T.
• Ann Marie Conti-Kelly, M.D.
• Continuum Clinical Care LLC
• Ann T. Cook, MSW, LSW, BSW, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.