Individual
DR. CHRISTOPHER CULLEN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, CARDIOLOGY DEPT., FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
046277
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
046277
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046277
CT MEDICAL LICENSE
CT
05
—
1386752210
—
CT
01
—
215573
MEDICAL LISCENCE
MA
Enumeration date
08/29/2006
Last updated
09/26/2022
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