Organization
CENTRAL CONNECTICUT CARDIOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL A CIAFONE MD (PRESIDENT)
(860) 525-1234
Entity
Organization
Contact information
Practice address
19 WOODLAND STREET, SUITE 35, HARTFORD, CT 06105-2372
(860) 525-1234
(860) 278-8782
Mailing address
19 WOODLAND STREET, SUITE 47, HARTFORD, CT 06105-2372
(860) 525-4005
(860) 525-4839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004192118
—
CT
01
—
50CCTCARDCT01
ANTHEM BCBS
—
01
—
C02445CT
ANTHEM BCBS
—
01
—
C15218
RAILROAD MEDICARE
CT
Enumeration date
12/19/2006
Last updated
09/18/2013
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