# CONNECTICUT VASCULAR SURGICAL ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1801805403
- **Authorized official:** SETH BARAK BLATTMAN M.D. (PRESIDENT)
- **Authorized official phone:** (203) 922-7870

## Contact information

- **Practice address:** 100 BEARD SAWMILL RD STE 250, SHELTON, CT 06484-6150
- **Practice address phone:** (203) 922-7870
- **Practice address fax:** (203) 922-7872
- **Mailing address:** 501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
- **Mailing address phone:** (203) 382-1900
- **Mailing address fax:** (203) 382-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 10/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004198489 | — | CT |