Healthcare Provider Details

I. General information

NPI: 1497727580
Provider Name (Legal Business Name): HEART PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MILL RIVER ST
STAMFORD CT
06902-3733
US

IV. Provider business mailing address

80 MILL RIVER ST
STAMFORD CT
06902-3733
US

V. Phone/Fax

Practice location:
  • Phone: 203-348-7410
  • Fax: 203-961-8488
Mailing address:
  • Phone: 203-348-7410
  • Fax: 203-961-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number174400000X
License Number StateCT

VIII. Authorized Official

Name: RICHARD H LANDESMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-348-7410