Basic Information
Provider Information
NPI: 1558495689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEKSHUN
FirstName: TODD
MiddleName: J
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 85 RETREAT AVENUE
Address2: HARTFORD HOSPITAL CANCER CENTER
City: HARTFORD
State: CT
PostalCode: 061062555
CountryCode: US
TelephoneNumber: 8609724183
FaxNumber:  
Practice Location
Address1: 85 SEYMOUR STREET, SUITE 125
Address2: HARTFORD HOSPITAL CANCER CENTER
City: HARTFORD
State: CT
PostalCode: 061065501
CountryCode: US
TelephoneNumber: 8609724183
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/14/2007
LastUpdateDate: 06/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X041743CTY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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