# CARDIOTHORACIC SURGERY PC

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

## Provider details

- **NPI number:** 1912129370
- **Authorized official:** WILLIAM MARTINEZ M.D. (PRESIDENT)
- **Authorized official phone:** (860) 714-1094

## Contact information

- **Practice address:** 1000 ASYLUM AVENUE, SUITE 2102, HARTFORD, CT 06105
- **Practice address phone:** (860) 714-1094
- **Practice address fax:** (860) 714-8850
- **Mailing address:** 1000 ASYLUM AVENUE, SUITE 2102, HARTFORD, CT 06105
- **Mailing address phone:** (860) 714-1094
- **Mailing address fax:** (860) 714-8850

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020