Provider Demographics
NPI:1639119407
Name:NORWALK PATHOLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORWALK PATHOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARASWATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-397-8000
Mailing Address - Street 1:PO BOX 9628
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06535-0628
Mailing Address - Country:US
Mailing Address - Phone:203-397-8000
Mailing Address - Fax:203-389-1540
Practice Address - Street 1:35 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3817
Practice Address - Country:US
Practice Address - Phone:203-852-2652
Practice Address - Fax:203-299-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0063241OtherAETNA/US HLTHCARE GRP#
CT022040OtherHEALTHNET GRP#
CT500HBL073CT01OtherBCBS GROUP#
CT713482OtherCONNECTICARE GRP#
CT4064515Medicaid
CT0582874OtherCIGNA GROUP#
CT713482OtherCONNECTICARE GRP#
CT=========OtherUNITED HEALTHCARE GRP#
CT4064515Medicaid