Organization
CONNECTICUT PHLEBOLOGY PC
Active
Other names
Vein Clinics of America
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JONES (CREDENTIALING)
(630) 725-2737
Entity
Organization
Contact information
Practice address
1 SASCO HILL RD STE 2, FAIRFIELD, CT 06824-5670
(203) 256-0070
Mailing address
2015 SPRING RD STE 300, OAK BROOK, IL 60523-3944
(630) 725-2700
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
CT
202K00000X
Phlebology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
CT
208600000X
Surgery Physician
Primary
—
CT
2086S0129X
Vascular Surgery Physician
—
CT
Other
Enumeration date
05/11/2010
Last updated
02/08/2022
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