Organization
CARDIOLOGY ASSOC OF BRISTOL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LAWRENCE MASTROPOLO MD (PRESIDENT)
(860) 582-2829
Entity
Organization
Contact information
Practice address
225 NORTH MAIN STREET, SUITE 105, BRISTOL, CT 06010
(860) 582-2829
(860) 584-5994
Mailing address
PO BOX 997, BRISTOL, CT 06010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00120744800
BLUECARE FAMILY
—
01
—
010020744CT01
ANTHEM BC
—
01
—
0407792
EVERCARE MEDICARE
—
01
—
0R1850
HEALTH NET
—
01
—
207440
CONNECTICARE
—
01
—
2604202
AETNA
—
01
—
HAP029
OXFORD
—
Enumeration date
06/20/2006
Last updated
08/22/2020
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