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CONNECTICUT VASCULAR CENTER P.C. NPI 1558494575


NPI Information

NPI: 1558494575
Provider Name: CONNECTICUT VASCULAR CENTER P.C.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
280 STATE ST
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 288-2886
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CONNECTICUT VASCULAR CENTER P.C. is a vascular surgery surgery in North Haven, 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. CONNECTICUT VASCULAR CENTER P.C. NPI is 1558494575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

280 STATE ST
NORTH HAVEN, CT
ZIP 06473-132
Phone: (203) 288-2886
Fax: (203) 288-2576

The provider's authorized official is Robin Mason .
The authorized official title is Billing Manager and has the following contact phone number (203) 288-2886.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 2/22/2013.


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
12086S0129XSurgeryVascular SurgeryYes
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No

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
1C00918MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2004115798MEDICAIDCONNECTICUT

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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