Organization
CIRCULATORY CENTERS CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS MICHAEL CERTO M.D. (MEDICAL DIRECTOR)
(412) 967-9220
Entity
Organization
Contact information
Practice address
4 HUNTLEY RD, SUITE 1, OLD LYME, CT 06371-1449
(860) 434-4073
(860) 434-4635
Mailing address
397 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1375
(330) 759-6750
(330) 759-6755
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
039899
CT
363LA2200X
Adult Health Nurse Practitioner
005169
CT
Other
Enumeration date
05/24/2011
Last updated
09/20/2016
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