is a Cardiovascular Disease in Waterbury, Connecticut. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1356392930. The last update date is .
's current location address is 455 Chase Pkwy, Waterbury, Connecticut. You can contact this provider via phone number 2035731435 and fax number 2037557433. The mailing address for is 455 Chase Pkwy, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 455 Chase Pkwy, Waterbury, Connecticut |
| Phone Number | 2035731435 |
| Fax Number | 2037557433 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356392930 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 455 Chase Pkwy |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67083303 |
| Phone Number | 2035731435 |
| Fax Number | 2037557433 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4143955 | CT | -- | |
| CD1493 | RAILROAD MEDICARE GROUP N |
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