Organization
MIDDLESEX CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERAN I SHANI MD (AUTHORIZED OFFICIAL)
(860) 347-4258
Entity
Organization
Contact information
Practice address
420 SAYBROOK RD, MIDDLETOWN, CT 06457
(860) 347-4258
(860) 704-5924
Mailing address
420 SAYBROOK RD, MIDDLETOWN, CT 06457-4700
(860) 347-4258
(860) 704-5924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004053088
—
CT
Enumeration date
08/09/2006
Last updated
06/13/2018
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