Provider Demographics
NPI:1790893709
Name:ARRHYTHMIA CENTER OF CONNECTICUT PC
Entity Type:Organization
Organization Name:ARRHYTHMIA CENTER OF CONNECTICUT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COUTURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-867-5400
Mailing Address - Street 1:330 ORCHARD ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4417
Mailing Address - Country:US
Mailing Address - Phone:203-867-5400
Mailing Address - Fax:203-867-5401
Practice Address - Street 1:330 ORCHARD ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4417
Practice Address - Country:US
Practice Address - Phone:203-867-5400
Practice Address - Fax:203-867-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027186207RC0000X
CT028115207RC0000X
CT037730207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG55650Medicare UPIN
CTB38924Medicare UPIN
CTE86767Medicare UPIN