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Organization

PEDIATRIC HEART SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD A BERNING M.D. (PHYSICIAN OWNER)
(203) 426-0225
Entity
Organization

Contact information

Practice address
107 CHURCH HILL RD, SUITE 1A, SANDY HOOK, CT 06482-1108
(203) 426-0225
(203) 426-0249
Mailing address
107 CHURCH HILL RD, SUITE 1A, SANDY HOOK, CT 06482-1108
(203) 426-0225
(203) 426-0249

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
034959
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001349598
CT
01
010034959CT12
ANTHEM BLUE CROSS
CT
01
3V6335
HEALTHNET NORTHEAST
CT
01
753985
CONNECTICARE
CT
01
P3399905
OXFORD UNITED HEALTHCARE
CT
Enumeration date
09/02/2010
Last updated
09/02/2010
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