Organization
VASECTOMY CENTER OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DANIEL MATSON M.D. (PRESIDENT)
(860) 430-5773
Entity
Organization
Contact information
Practice address
2800 TAMARACK RD, SUITE 108, SOUTH WINDSOR, CT 06074-5539
(860) 430-5773
(860) 430-5773
Mailing address
PO BOX 10, EAST GLASTONBURY, CT 06025-0010
(860) 430-5773
(860) 430-5773
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
040285
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402859
—
CT
01
—
040285
CONNECTICARE
CT
01
—
7190376
AETNA
CT
01
—
8711289
CIGNA
CT
Enumeration date
05/19/2008
Last updated
05/19/2008
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