Healthcare Provider Details
I. General information
NPI: 1871522169
Provider Name (Legal Business Name): HEARTCARE ASSOCIATES OF CONNECTICUT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 WHITNEY AVE SUITE 180
HAMDEN CT
06518-3691
US
IV. Provider business mailing address
2200 WHITNEY AVE SUITE 180
HAMDEN CT
06518-3691
US
V. Phone/Fax
- Phone: 203-407-2500
- Fax: 203-407-5812
- Phone: 203-407-2500
- Fax: 203-407-5812
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARIAN
VULPE
Title or Position: PARTNER
Credential: MD
Phone: 203-407-2500