Provider Demographics
NPI:1942230982
Name:ONCOLOGY & HEMATOLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:ONCOLOGY & HEMATOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-439-1770
Mailing Address - Street 1:3 SHAWS CV
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4952
Mailing Address - Country:US
Mailing Address - Phone:860-439-1770
Mailing Address - Fax:860-447-2854
Practice Address - Street 1:3 SHAWS CV
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4952
Practice Address - Country:US
Practice Address - Phone:860-439-1770
Practice Address - Fax:860-447-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
02329Medicare ID - Type Unspecified