CARDIOLOGY ASSOCIATES OF WATERBURY PC NPI 1356392930

NPI Information

NPI: 1356392930
Provider Name: CARDIOLOGY ASSOCIATES OF WATERBURY, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 07D2019816

Address:
455 CHASE PKWY
WATERBURY, CT
ZIP 06708
Phone: (203) 573-1435
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CARDIOLOGY ASSOCIATES OF WATERBURY, PC is a cardiovascular disease internal medicine in Waterbury, 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. CARDIOLOGY ASSOCIATES OF WATERBURY, PC NPI is 1356392930. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

455 CHASE PKWY
WATERBURY, CT
ZIP 06708-303
Phone: (203) 573-1435
Fax: (203) 755-7433

The provider's authorized official is Dennis L Dobkin .
The authorized official title is Vice-president and has the following contact phone number (203) 573-1435.

The CLIA number assigned to this NPI record is 07D2019816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/31/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health		CONNECTICUT	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease		CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004143955	MEDICAID	CONNECTICUT
2	C01228	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	MEDICARE GROUP NUMBER
3	CD1493	OTHER		RAILROAD MEDICARE GROUP N

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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