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Connecticut Neurological Specialist, Llc
Vascular Neurology Physician in Meriden, Connecticut
NPI 1750468963

Connecticut Neurological Specialist, Llc is a Vascular Neurology Physician based in Meriden, CT and is specialized in Vascular Neurology. Connecticut Neurological Specialist, Llc practices in Meriden, CT. The NPI Number for Connecticut Neurological Specialist, Llc is 1750468963 and holds a License No. 042289 (Connecticut).

The current practice location address for Connecticut Neurological Specialist, Llc is 455 Lewis Ave, Meriden, CT and can be reached out via phone at 203-630-1000 and via fax at 203-413-3333.

Location: 455 Lewis Ave, Meriden, CT, 06451-2121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750468963
Provider Name
Connecticut Neurological Specialist, Llc
Credential
Provider Entity Type
Organization
Address
455 Lewis Ave, Meriden, CT, 06451-2121
Phone Number
203-630-1000
Fax Number
203-413-3333
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1470133 01 CT AETNA
042289 01 CT CT STATE LICENSE
301000 01 CT WELLCARE
042289 01 CT CONNECTICARE
1750468963 01 CT MEDICARE
2V6461 01 CT HEALTHNET
5488264 01 CT CIGNA
P3721896 01 CT OXFORD
010042289CT04 01 CT ANTHEM BC BS
institution
Provider Business Practice Location Address Details
Address
455 Lewis Ave
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-630-1000
Fax Number
203-413-3333
person
Provider Business Mailing Address Details
Address
455 Lewis Ave
City
Meriden
State
Connecticut
Zip
06451-2121
Phone Number
203-630-1000
Fax Number
203-413-3333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
042289 (Connecticut)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
042289 (Connecticut)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Vascular Neurology
Taxonomy
2084V0102X
License No.
042289 (Connecticut)
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
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