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NPI Code Detail

MEDICARE: CONNECTICUT HEART PHYSICIANS, INC.

MEDICARE: CONNECTICUT HEART PHYSICIANS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1477588002
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTICUT HEART PHYSICIANS, INC.
Provider Business Mailing Address
First Line : PO BOX 262
Second Line :
City : WINDSOR
State : CT
Zip : 06095-0262
Country : US
Telephone Number : 860-688-0033
Fax Number : 877-306-1480
Provider Business Practice Location Address
First Line : 835 BLOOMFIELD AVE
Second Line :
City : WINDSOR
State : CT
Zip : 06095-2363
Country : US
Telephone Number : 860-688-0033
Fax Number : 877-306-1480
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY F LASALA
Credential : M.D.
Telephone Number : 860-249-9175
Provider Enumeration Date : 07/12/2006
Last Update Date : 01/25/2008

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Directions to “CONNECTICUT HEART PHYSICIANS, INC. ” Practice Location

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