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Contact Information

VALLEY VASCULAR ASSOCIATES LLC
91 EAST AVE
NORWALK, CT06851-5020
 Phone: 203-855-9806
 Fax: 203-855-1135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for VALLEY VASCULAR ASSOCIATES LLC

NPI Number 1851643654
LBN Legal business name VALLEY VASCULAR ASSOCIATES LLC
Authorized official CHUNG SHIN - (MANAGING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2012
Last updated 10/04/2012 - About 14 years ago
Identifiers
CT License # 037720
CT Medicaid 001377200
CT Other 2322912 AETNA/US HEALTHCARE
CT Other 010037720CT04 ANTHEM - BPT
CT Other 010037720CT02 ANTHEM - DERBY
CT Other 010037720CT03 ANTHEM -NORWALK
CT Other 3324246-004 CIGNA
CT Other 037720 CONNECTICARE
CT Other 770002444 MEDICARE RAILROAD
CT Other P2061278 OXFORD
CT Other 178311 WELLCARE
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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