Organization
BRISTOL CARDIOVASCULAR ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ANDERSON (OFFICE MANAGER)
(860) 582-3235
Entity
Organization
Contact information
Practice address
22 PINE ST, SUITE 304, BRISTOL, CT 06010-6948
(860) 582-3235
(860) 582-0692
Mailing address
22 PINE ST, SUITE 304, BRISTOL, CT 06010-6948
(860) 582-3235
(860) 582-0692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001252279
—
CT
05
—
001293646
—
CT
05
—
001359951
—
CT
Enumeration date
01/09/2007
Last updated
02/24/2015
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