Provider Demographics
NPI:1255429627
Name:RADIOLOGY GROUP PC
Entity type:Organization
Organization Name:RADIOLOGY GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT RADIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SCARNATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-288-7975
Mailing Address - Street 1:6 BUSINESS PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405
Mailing Address - Country:US
Mailing Address - Phone:203-315-3326
Mailing Address - Fax:203-483-8322
Practice Address - Street 1:6 BUSINESS PARK DRIVE
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405
Practice Address - Country:US
Practice Address - Phone:203-315-3326
Practice Address - Fax:203-483-8322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004000717Medicaid
CT784315OtherCONNECTICARE
CTCD8479OtherRAILROAD MEDICARE
CTANC1300OtherOXFORD
CTOV7658OtherHEALTHNET
CT2020293OtherAETNA
CTC00133Medicare UPIN
CTCD8479OtherRAILROAD MEDICARE
C02644Medicare UPIN