Healthcare Provider Details

I. General information

NPI: 1255583480
Provider Name (Legal Business Name): LITCHFIELD COUNTY CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 ELM ST
NEW MILFORD CT
06776-2915
US

IV. Provider business mailing address

21 ELM ST
NEW MILFORD CT
06776-2915
US

V. Phone/Fax

Practice location:
  • Phone: 203-350-7724
  • Fax:
Mailing address:
  • Phone: 203-350-7724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FROLKIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 860-350-7200