Organization
ADVANCED CARDIOVASCULAR SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME MARTIN (PRACTICE MANAGER)
(203) 334-2100
Entity
Organization
Contact information
Practice address
439 MILL HILL AVE, BRIDGEPORT, CT 06610-2866
(203) 334-2100
(203) 333-5864
Mailing address
439 MILL HILL AVE, BRIDGEPORT, CT 06610-2866
(203) 334-2100
(203) 333-5864
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/16/2007
Last updated
03/13/2017
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