Provider Demographics
NPI:1972683175
Name:ASSOCIATED HEALTHCARE LLC
Entity Type:Organization
Organization Name:ASSOCIATED HEALTHCARE LLC
Other - Org Name:ASSOCIATED HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-723-7445
Mailing Address - Street 1:59 RUBBER AVE
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-4123
Mailing Address - Country:US
Mailing Address - Phone:203-723-7445
Mailing Address - Fax:203-723-4794
Practice Address - Street 1:59 RUBBER AVE
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-4123
Practice Address - Country:US
Practice Address - Phone:203-723-7445
Practice Address - Fax:203-723-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000516207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports MedicineGroup - Multi-Specialty