# MODERN VEIN CARE OF CONNECTICUT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073491569
- **Authorized official:** KA CHEUNG (MANAGING DIRECTOR)
- **Authorized official phone:** (860) 255-8884

## Contact information

- **Practice address:** 800 MAIN ST S STE 110, SOUTHBURY, CT 06488-4234
- **Practice address phone:** (203) 723-3505
- **Practice address fax:** (860) 858-4560
- **Mailing address:** 800 MAIN ST S STE 110, SOUTHBURY, CT 06488-4234
- **Mailing address phone:** (203) 723-3505
- **Mailing address fax:** (860) 858-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2025
- **Last updated:** 04/29/2026