CVM OF CT PLLC NPI 1063094019

NPI Information

NPI: 1063094019
Provider Name: CVM OF CT PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
136 BERLIN RD STE 202
CROMWELL, CT
ZIP 06416
Phone: (301) 486-4690
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CVM OF CT PLLC is a vascular surgery surgery in Cromwell, CT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CVM OF CT PLLC NPI is 1063094019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

136 BERLIN RD STE 202
CROMWELL, CT
ZIP 06416-622
Phone: (301) 486-4690
Fax: (301) 441-8809

The provider's authorized official is Richard Kennedy .
The authorized official title is Ceo and has the following contact phone number (301) 982-2000.

The enumeration date for this NPI number is 4/28/2021 and was last updated on 4/28/2021.

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	2086S0129X	Surgery	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: 4/28/2024

NPI Synchronization or Removal

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