Provider Demographics
NPI:1427043777
Name:EASTERN CONNECTICUT CARDIOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:EASTERN CONNECTICUT CARDIOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-647-9494
Mailing Address - Street 1:43 W MIDDLE TPKE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4057
Mailing Address - Country:US
Mailing Address - Phone:860-647-9494
Mailing Address - Fax:860-646-4892
Practice Address - Street 1:43 W MIDDLE TPKE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4057
Practice Address - Country:US
Practice Address - Phone:860-647-9494
Practice Address - Fax:860-646-4892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty