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Organization
LUNG DOCS OF CT PC
Active
Organization
LUNG DOCS OF CT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASDEEP SIDANA MD (OWNER)
(203) 523-0971
Entity
Organization
Contact information
Practice address
512 BOSTON POST ROAD, ORANGE, CT 06477
(203) 523-0971
(203) 529-3273
Mailing address
163 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3152
(203) 466-8060
(203) 907-3279
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
04/05/2011
Last updated
06/04/2018
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