CONNECTICUT NEUROCARE LLC NPI 1619014834

NPI Information

CONNECTICUT NEUROCARE, LLC is a specialist in Meriden, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CONNECTICUT NEUROCARE, LLC NPI is 1619014834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

455 LEWIS AVE
SUITE 202
MERIDEN, CT
ZIP 06451-121
Phone: (203) 630-1000
Fax: (203) 413-3333

The provider's authorized official is Sujai D Nath .
The authorized official title is Managing Member and has the following contact phone number (203) 630-1000.

The CLIA number assigned to this NPI record is 07D2139768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.