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Organization
ADVANCED VEIN ASSOCIATES PLLC
Active
Organization
ADVANCED VEIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S HAHN MD (OWNER)
(860) 892-8488
Entity
Organization
Contact information
Practice address
2020 NORWICH NEW LONDON TPKE STE 12, UNCASVILLE, CT 06382-1374
(860) 892-8488
(860) 892-8499
Mailing address
2020 NORWICH NEW LONDON TPKE STE 12, UNCASVILLE, CT 06382-1374
(860) 892-8488
(860) 892-8499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184690703
INDIVIDUAL NPI
—
Enumeration date
02/26/2019
Last updated
03/29/2019
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