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Organization
VASECTOMY CENTER OF CONNECTICUT, LLC
Active
Organization
VASECTOMY CENTER OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DANIEL MATSON M.D. (PRESIDENT)
(860) 430-5773
Entity
Organization
Contact information
Practice address
2800 TAMARACK RD, SUITE 108, SOUTH WINDSOR, CT 06074-5539
(860) 430-5773
(860) 430-5773
Mailing address
PO BOX 10, EAST GLASTONBURY, CT 06025-0010
(860) 430-5773
(860) 430-5773
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
040285
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402859
—
CT
01
—
040285
CONNECTICARE
CT
01
—
7190376
AETNA
CT
01
—
8711289
CIGNA
CT
Enumeration date
05/19/2008
Last updated
05/19/2008
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