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Contact Information

SHORELINE SURGICAL ASSOC. P.C.
400 SAYBROOK RD
SUITE 110
MIDDLETOWN, CT06457
 Phone: 860-347-9167
 Fax: 860-347-1630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SHORELINE SURGICAL ASSOC. P.C.

NPI Number 1699893925
LBN Legal business name SHORELINE SURGICAL ASSOC. P.C.
Authorized official JOSEPH COATTI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 05/02/2016 - About 10 years ago
Identifiers
CT Medicaid 004394524
CT Other CA8575 RAILROAD-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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