DIAGNOSTIC HEMATOLOGY LAB
NPI 1073549648
Internal Medicine - Hematology & Oncology in Woodbridge, CT

Active since June 24, 2006
19 LUNAR DRIVE, WOODBRIDGE, CT 06525(203) 389-7504(203) 389-1666 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diagnostic Hematology Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC HEMATOLOGY LAB (NPI 1073549648) is a healthcare organization registered as a hematology & oncology in Woodbridge, Connecticut and active in the NPI registry since June 2006. The organization lists Sandra Coppola, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1073549648
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMEDICAL ONCOLOGY & HEMATOLOGY, PC
Location Address19 LUNAR DRIVEWoodbridge, CT 06525
Mailing Address19 Lunar DriveWoodbridge, CT 06525 · (203) 389-7504 · Fax (203) 389-1666
Fax(203) 389-1666
Organization SubpartNo
Authorized OfficialSandra CoppolaBusiness Manager · (203) 389-7504
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 11, 2011
NPI 1073549648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

19 LUNAR DRIVE, Woodbridge, CT 06525

Other Names 1

Doing Business AsDiagnostic Hematology Lab

Other Identifiers 4

Medicaid004001459CT
Medicare PINCM1770
Medicare PIN690003007
Medicare ID-Type UnspecifiedC00657

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073549648, enumerated as an "organization" on June 24, 2006.

The provider is located at 19 LUNAR DRIVE WOODBRIDGE, CT 06525 and the phone number is (203) 389-7504.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.