# LUNG DOCS OF CT PC

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

## Provider details

- **NPI number:** 1699064113
- **Authorized official:** JASDEEP SIDANA MD (OWNER)
- **Authorized official phone:** (203) 523-0971

## Contact information

- **Practice address:** 512 BOSTON POST ROAD, ORANGE, CT 06477
- **Practice address phone:** (203) 523-0971
- **Practice address fax:** (203) 529-3273
- **Mailing address:** 163 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3152
- **Mailing address phone:** (203) 466-8060
- **Mailing address fax:** (203) 907-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 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