# CONNECTICUT VASCULAR CENTER P.C.

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

## Provider details

- **NPI number:** 1558494575
- **Authorized official:** MS. ROBIN MASON LPN, CPC (BILLING MANAGER)
- **Authorized official phone:** (203) 288-2886

## Contact information

- **Practice address:** 280 STATE ST, NORTH HAVEN, CT 06473-2132
- **Practice address phone:** (203) 288-2886
- **Practice address fax:** (203) 288-2576
- **Mailing address:** 280 STATE ST, NORTH HAVEN, CT 06473-2132
- **Mailing address phone:** (203) 288-2886
- **Mailing address fax:** (203) 288-2576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 02/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004115798 | — | CT |