Organization
SHORELINE PULMONARY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIALL JOSEPH DUHIG M.D. (OWNER)
(860) 437-1100
Entity
Organization
Contact information
Practice address
415 OCEAN AVE, NEW LONDON, CT 06320-4716
(860) 437-1100
(860) 440-3311
Mailing address
415 OCEAN AVE, NEW LONDON, CT 06320-4716
(860) 437-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041248
CT
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004263711
—
CT
05
—
7090035
—
RI
01
—
DD5389
MEDICARE RAILROAD
CT
Enumeration date
12/06/2006
Last updated
01/22/2014
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