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Organization
CONNECTICUT VASCULAR CENTER P.C.
Active
Organization
CONNECTICUT VASCULAR CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN MASON LPN, CPC (BILLING MANAGER)
(203) 288-2886
Entity
Organization
Contact information
Practice address
280 STATE ST, NORTH HAVEN, CT 06473-2132
(203) 288-2886
(203) 288-2576
Mailing address
280 STATE ST, NORTH HAVEN, CT 06473-2132
(203) 288-2886
(203) 288-2576
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004115798
—
CT
Enumeration date
03/13/2007
Last updated
02/22/2013
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