CONNECTICUT PATHOLOGY GROUP PC
Medical Practice at Crescent St, Middletown, CT

License number
Connecticut 016547
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: DR. JONATHAN LEVINE MD
Title: CHIEF
Phone: (860) 344-6174
Address
Address 2
28 Crescent St, Middletown, CT 06457
PO Box 1590, New Haven, CT 06506
National Provider ID: 1740219625
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Connecticut Pathology Group PC

Middletown, CT

Industry:
Medical Practice, Auto Body Repair
Registration:
Oct 12, 1972
Site:
ctpathologygroup.com
Phone:
(860) 344-6175 (Phone)
Description:
Connecticut Pathology Group PC is a Medical Practice company located in 28 Crescent St, Middletown, Connecticut, United States.
Addresses:
28 Cres St, Middletown, CT 06457
Middlesex Mem Hosp, Middletown, CT 06457 (Mailing)
State ID:
0031192
Business type:
Stock
TREASURERs:
Jonathan David Levine, M.d (PRESIDENT), 28 Cres St, Middletown, CT 06457 (Mailing)
131 Ml Stone Dr, Guilford, CT 06437 (Physical),Joseph Paul Semple, M.d.  Vice (PRESIDENT), 28 Cres St, Middletown, CT 06457 (Mailing)
41 Blood St, Old Lyme, CT 06371 (Physical),Nathan Collins Walk, M.d (TREASURER), 28 Cres St, Middletown, CT 06457 (Mailing)
2 Pole Brg Ln, Guilford, CT 06437 (Physical)
Agent:
Daniel C. Niejadlik,28 Cres St, Middletown, CT 06457 (Mailing)
179 Riv Rd, Essex, CT 06426 (Physical)

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