National Provider Identifier Database

VASECTOMY CENTER OF CONNECTICUT LLC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

VASECTOMY CENTER OF CONNECTICUT, LLC
2800 TAMARACK RD
SUITE 108
SOUTH WINDSOR, CT06074-5539
Phone: 860-430-5773
Fax: 860-430-5773
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for VASECTOMY CENTER OF CONNECTICUT, LLC

NPI Number 1043477045
Legal business name
LBN
VASECTOMY CENTER OF CONNECTICUT, LLC
Authorized official SCOTT MATSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/19/2008
Last updated 05/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 040285
  • CT Medicaid: 001402859
  • CT Other: 7190376 AETNA
  • CT Other: 8711289 CIGNA
  • CT Other: 040285 CONNECTICARE

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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