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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

NPI # 1548211188
LBN Legal business name EASTERN CT CARDIOLOGY DIAGNOSTICS, LLC
Authorized official BRIAN EHRLICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2006
Last updated 05/31/2011 - About 15 years ago
Identifiers
CT Medicaid 004217130
Other CH9157 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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