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WESTERN CONNECTICUT THORACIC SURGERY NPI 1861772022


NPI Information

NPI: 1861772022
Provider Name: WESTERN CONNECTICUT THORACIC SURGERY
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
10 SOUTH ST
SUITE 202
RIDGEFIELD, CT
ZIP 06877
Phone: (203) 403-3490
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WESTERN CONNECTICUT THORACIC SURGERY is a thoracic surgery cardiothoracic vascular surgery in Ridgefield, CT. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WESTERN CONNECTICUT THORACIC SURGERY NPI is 1861772022. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 SOUTH ST
SUITE 202
RIDGEFIELD, CT
ZIP 06877-124
Phone: (203) 403-3490

The provider's authorized official is Shawn Tittle .
The authorized official title is President and has the following contact phone number (203) 403-3490.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 8/19/2011.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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: 11/14/2023

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