Organization
CARDIOVASCULAR SPECIALISTS OF SOUTHBURY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NEIL PEARSON M.D. (OWNER)
(203) 264-5911
Entity
Organization
Contact information
Practice address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 264-5911
(203) 264-9177
Mailing address
30 QUAKER FARMS RD, SOUTHBURY, CT 06488-2732
(203) 264-5911
(203) 264-9177
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000345
MEDICARE GROUP #
CT
Enumeration date
02/23/2009
Last updated
03/12/2018
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