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Cottage Grove Cardiology, P.c.
Family Nurse Practitioner in Bloomfield, Connecticut
NPI 1710935002

Cottage Grove Cardiology, P.c. is a Family Nurse Practitioner based in Bloomfield, CT and is specialized in Family. Cottage Grove Cardiology, P.c. practices in Bloomfield, CT. The NPI Number for Cottage Grove Cardiology, P.c. is 1710935002 and holds a License No. (Connecticut).

The current practice location address for Cottage Grove Cardiology, P.c. is 711 Cottage Grove Road, Bloomfield, CT and can be reached out via phone at 860-242-8756 and via fax at 860-242-3052.

Location: 711 Cottage Grove Road, Bloomfield, CT, 06002-3060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710935002
Provider Name
Cottage Grove Cardiology, P.c.
Credential
Provider Entity Type
Organization
Address
711 Cottage Grove Road, Bloomfield, CT, 06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
Provider Enumeration Date
05/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C00718 01 CT MEDICARE
004090958 05 CT
CA8569 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
711 Cottage Grove Road
City
Bloomfield
State
Connecticut
Zip
06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
person
Provider Business Mailing Address Details
Address
711 Cottage Grove Road
City
Bloomfield
State
Connecticut
Zip
06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
002892 (Connecticut)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
(Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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