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Organization

CONNECTICUT NEUROLOGICAL SPECIALIST, LLC

Active
Other names
CNS, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAMID SAMI MD (OWNER)
(203) 630-1000
Entity
Organization

Contact information

Practice address
455 LEWIS AVE, SUITE 202, MERIDEN, CT 06451-2121
(203) 630-1000
(203) 413-3333
Mailing address
455 LEWIS AVE STE 202, MERIDEN, CT 06451-2121
(203) 630-1000
(203) 413-3333

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
042289
CT
2084N0400X
Neurology Physician
Primary
042289
CT
2084V0102X
Vascular Neurology Physician
042289
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010042289CT04
ANTHEM BC BS
CT
01
042289
CT STATE LICENSE
CT
01
1470133
AETNA
CT
01
1750468963
MEDICARE
CT
01
2V6461
HEALTHNET
CT
01
301000
WELLCARE
CT
01
5488264
CIGNA
CT
01
P3721896
OXFORD
CT
Enumeration date
11/01/2006
Last updated
06/21/2018
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