National Provider Identifier Database

EASTERN CONN CARDIOLOGY GROUP
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

EASTERN CONN. CARDIOLOGY GROUP
196 PARKWAY S
SUITE 103
WATERFORD, CT06385-1234
Phone: 860-443-4383
Fax: 860-443-3980
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for EASTERN CONN. CARDIOLOGY GROUP

NPI Number 1336192608
Legal business name
LBN
EASTERN CONN. CARDIOLOGY GROUP
Authorized official BRIAN EHRLICH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/18/2006
Last updated 05/31/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 004047577
  • Other: CJ0983 RR MEDICARE

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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