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CARDIOVASCULAR SPECIALISTS OF SOUTHBURY LLC NPI 1528208121


NPI Information

NPI: 1528208121
Provider Name: CARDIOVASCULAR SPECIALISTS OF SOUTHBURY LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
30 QUAKER FARMS RD
SOUTHBURY, CT
ZIP 06488
Phone: (203) 264-5911
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CARDIOVASCULAR SPECIALISTS OF SOUTHBURY LLC is a cardiovascular disease internal medicine in Southbury, 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. CARDIOVASCULAR SPECIALISTS OF SOUTHBURY LLC NPI is 1528208121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 QUAKER FARMS RD
SOUTHBURY, CT
ZIP 06488-732
Phone: (203) 264-5911
Fax: (203) 264-9177

The provider's authorized official is William Neil Pearson .
The authorized official title is Owner and has the following contact phone number (203) 264-5911.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 3/12/2018.


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 Disease25203CONNECTICUTYes

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
1060000345OTHERCONNECTICUTMEDICARE GROUP #

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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