Organization
CARDIOLOGY ASSOC OF BRISTOL PC
Active
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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