Organization
SHORELINE SURGICAL ASSOC. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A COATTI MD (PRESIDENT)
(860) 347-9167
Entity
Organization
Contact information
Practice address
400 SAYBROOK RD, SUITE 110, MIDDLETOWN, CT 06457
(860) 347-9167
(860) 347-1630
Mailing address
400 SAYBROOK RD, SUITE 110, MIDDLETOWN, CT 06457
(860) 347-9167
(860) 347-1630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004394524
—
CT
01
—
CA8575
RAILROAD-MEDICARE
CT
Enumeration date
03/26/2007
Last updated
05/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us