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Joseph Ravalese, MD
Radiation Oncology Physician in Bristol, Connecticut
NPI 1376505081

Joseph Ravalese is a Radiation Oncology Physician based in Boalsburg, CT and is specialized in Radiation Oncology. Joseph Ravalese practices in Bristol, CT and has the professional credentials of MD. The NPI Number for Joseph Ravalese is 1376505081 and holds a License No. 039160 (Connecticut).

The current practice location address for Joseph Ravalese is 25 Newell Rd, Bristol, CT and can be reached out via phone at 860-582-9800 and via fax at 860-585-0059.

Location: 25 Newell Rd, Bristol, CT, 16827-1509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376505081
Provider Name
Joseph Ravalese
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25 Newell Rd, Bristol, CT, 16827-1509
Phone Number
860-582-9800
Fax Number
860-585-0059
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010039160CT01 01 CT ANTHEM BCBS
OV7350 01 CT PHS/HEALTHNET
001391606 05 CT
039160 01 CT CONNECTICARE
P2354315 01 CT OXFORD
institution
Provider Business Practice Location Address Details
Address
25 Newell Rd
City
Bristol
State
Connecticut
Zip
06010-5100
Phone Number
860-582-9800
Fax Number
860-585-0059
person
Provider Business Mailing Address Details
Address
25 Newell Rd
City
Bristol
State
Connecticut
Zip
06010-5100
Phone Number
860-582-9800
Fax Number
860-585-0059
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
039160 (Connecticut)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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