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Contact Information

EASTERN CT CARDIOLOGY DIAGNOSTICS, LLC
196 PARKWAY S
SUITE 103
WATERFORD, CT06385-1234
 Phone: 860-443-4383
 Fax: 860-443-3980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EASTERN CT CARDIOLOGY DIAGNOSTICS LLC · (Female)

NPI Number 1548211188
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 05/31/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004217130
  • Other CH9157 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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