Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 034428 | CT |
N | 207U00000X | Nuclear Medicine Specialist | 246164 | MA |
NPI | 1194740308 |
---|---|
Provider Name | Gregory T. Turner |
First Address | East Hartford, CT 06108-3212 |
Second Address | Hartford, CT 06106-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 16/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G04150 | (02) | CT |