Connecticut Proton Therapy Center LLC
Clinic/Center in Wallingford, Connecticut
1790598787- Practice location
- 932 Northrop RD, Wallingford, CT 06492-1909
- Phone
- 630-649-4060
- Fax
- 312-896-9537
- Last updated
- November 6, 2026
Connecticut Proton Therapy Center LLC is a healthcare organization based in Wallingford, CT. Connecticut Proton Therapy Center LLC practices in Wallingford, CT. The NPI Number for Connecticut Proton Therapy Center LLC is 1790598787. The current practice location address for Connecticut Proton Therapy Center LLC is 932 Northrop RD, Wallingford, CT 06492-1909 and can be reached out via phone at 630-649-4060 and via fax at 312-896-9537.
Provider Profile Details
- NPI Number
- 1790598787
- Provider Name
- Connecticut Proton Therapy Center LLC
- Provider Entity Type
- Organization
- Address
- 932 Northrop RD, Wallingford, CT 06492-1909
- Phone Number
- 630-649-4060
- Fax Number
- 312-896-9537
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Charles Hee Yoo · Vice President · 630-649-4060
- Other Names
- Connecticut Proton (Doing Business As)
- Provider Enumeration Date
- January 31, 2025
- Last Update Date
- November 6, 2026
- Certification Date
- November 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 932 Northrop RD
Wallingford, CT 06492-1909 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-1909
- Phone Number
- 630-649-4060
- Fax Number
- 312-896-9537
Provider Business Mailing Address Details
- Address
- 932 Northrop RD
Wallingford, CT 06492-1909 - City
- Wallingford
- State
- CT
- Zip
- 06492-1909
- Phone Number
- 203-677-2003
- Fax Number
- 312-896-9537
License Information
- Taxonomy (2)
- Clinic/Center · 261Q00000X · Primary
- Taxonomy (3)
- Clinic/Center, Oncology · 261QX0200X
- Taxonomy (4)
- Clinic/Center, Oncology, Radiation · 261QX0203X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Wallingford, CT
View all Clinic/Centers in Wallingford →Frequently Asked Questions
What is the NPI number of Connecticut Proton Therapy Center LLC?
The NPI number of Connecticut Proton Therapy Center LLC is 1790598787. It was assigned on January 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Connecticut Proton Therapy Center LLC?
Connecticut Proton Therapy Center LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Connecticut Proton Therapy Center LLC practice?
The practice location is 932 Northrop RD, Wallingford, CT 06492-1909. The office can be reached at 630-649-4060 (phone) or 312-896-9537 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790598787 directly on the NPPES registry website.