# VALLEY VASCULAR ASSOCIATES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851643654
- **Authorized official:** DR. CHUNG K SHIN M.D. (MANAGING OFFICER)
- **Authorized official phone:** (203) 855-9806

## Contact information

- **Practice address:** 91 EAST AVE, NORWALK, CT 06851-5020
- **Practice address phone:** (203) 855-9806
- **Practice address fax:** (203) 855-1135
- **Mailing address:** 91 EAST AVE, NORWALK, CT 06851-5020
- **Mailing address phone:** (203) 855-9806
- **Mailing address fax:** (203) 855-1135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 037720 | CT | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001377200 | — | CT |
| 01 | — | 010037720CT02 | ANTHEM - DERBY | CT |
| 01 | — | 010037720CT03 | ANTHEM -NORWALK | CT |
| 01 | — | 010037720CT04 | ANTHEM - BPT | CT |
| 01 | — | 037720 | CONNECTICARE | CT |
| 01 | — | 178311 | WELLCARE | CT |
| 01 | — | 2322912 | AETNA/US HEALTHCARE | CT |
| 01 | — | 3324246-004 | CIGNA | CT |
| 01 | — | 770002444 | MEDICARE RAILROAD | CT |
| 01 | — | P2061278 | OXFORD | CT |