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Contact Information

COTTAGE GROVE CARDIOLOGY, P.C.
711 COTTAGE GROVE ROAD
BLOOMFIELD, CT06002-3060
 Phone: 860-242-8756
 Fax: 860-242-3052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COTTAGE GROVE CARDIOLOGY, P.C.

NPI Number 1710935002
LBN Legal business name COTTAGE GROVE CARDIOLOGY, P.C.
Authorized official STACY SIMONS - (OFFICE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 11/05/2014 - About 12 years ago
Identifiers
CT License # 002892
CT License # 3110
CT License # 5854
CT Medicaid 004090958
Other CA8569 RAILROAD MEDICARE
CT Other C00718 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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