Individual
DR. SHISHIR MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 SYCAMORE ST STE 400, GLASTONBURY, CT 06033-7208
(860) 633-0500
(860) 633-5250
Mailing address
27 SYCAMORE ST STE 400, GLASTONBURY, CT 06033-7208
(860) 633-0500
(860) 633-5250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
047888
CT
207RI0011X
Interventional Cardiology Physician
047888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003016957
—
CT
Enumeration date
07/19/2007
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us