Organization
CONNECTICUT VASCULAR SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH BARAK BLATTMAN M.D. (PRESIDENT)
(203) 922-7870
Entity
Organization
Contact information
Practice address
100 BEARD SAWMILL RD STE 250, SHELTON, CT 06484-6150
(203) 922-7870
(203) 922-7872
Mailing address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004198489
—
CT
Enumeration date
08/05/2006
Last updated
10/17/2019
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