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CENTRAL CONNECTICUT CARDIOLOGISTS LLC NPI 1316000425


NPI Information

NPI: 1316000425
Provider Name: CENTRAL CONNECTICUT CARDIOLOGISTS LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 07D2142630

Address:
19 WOODLAND STREET
SUITE 35
HARTFORD, CT
ZIP 06105
Phone: (860) 525-1234
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CENTRAL CONNECTICUT CARDIOLOGISTS LLC is a cardiovascular disease internal medicine in Hartford, CT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CENTRAL CONNECTICUT CARDIOLOGISTS LLC NPI is 1316000425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19 WOODLAND STREET
SUITE 35
HARTFORD, CT
ZIP 06105-372
Phone: (860) 525-1234
Fax: (860) 278-8782

The provider's authorized official is Russell A Ciafone .
The authorized official title is President and has the following contact phone number (860) 525-1234.

The CLIA number assigned to this NPI record is 07D2142630 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C15218OTHERCONNECTICUTRAILROAD MEDICARE
2C02445MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
3004192118MEDICAIDCONNECTICUT
450CCTCARDCT01OTHERANTHEM BCBS
5C02445CTOTHERANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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