Organization
HEART CENTER PLLC
Active
Organization
HEART CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A. GREEN MD (AUTHORIZED OFFICIAL)
(203) 674-1810
Entity
Organization
Contact information
Practice address
215 STILLWATER AVE., UNIT B, STAMFORD, CT 06902-4807
(203) 674-1810
(203) 674-1805
Mailing address
215 STILLWATER AVE., UNIT B, STAMFORD, CT 06902-4807
(203) 674-1810
(203) 674-1805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CT
207UN0901X
Nuclear Cardiology Physician
—
CT
Other
Enumeration date
01/16/2018
Last updated
01/17/2018
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