Healthcare Provider Details

I. General information

NPI: 1972683175
Provider Name (Legal Business Name): ASSOCIATED HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 RUBBER AVE
NAUGATUCK CT
06770-4123
US

IV. Provider business mailing address

59 RUBBER AVE
NAUGATUCK CT
06770-4123
US

V. Phone/Fax

Practice location:
  • Phone: 203-723-7445
  • Fax: 203-723-4794
Mailing address:
  • Phone: 203-723-7445
  • Fax: 203-723-4794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number000516
License Number StateCT

VIII. Authorized Official

Name: DR. CARL SCHIANO
Title or Position: OWNER
Credential: DC
Phone: 203-723-7445