Connecticut Neurosurgery, PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Middletown, CT
NPI 1396957825 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1396957825
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 037965 (CT)
- Legal business name
- CONNECTICUT NEUROSURGERY, PC
- Practice address
- 520 Old Saybrook Road
Suite 100
Middletown, CT 06457 - Phone
- (860) 344-0118
- Fax
- (860) 344-0461
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Patrick Tomak, MD
- Title
- MD
- Phone
- (203) 781-3400
Corporate family (same tax ID) 6
Practitioners 1
-
Thomas J Arkins, MD
National Provider Directory
- Tax ID family
- Connecticut Neurosurgery PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 037965 | CT | Yes |
Addresses
Primary practice location
520 Old Saybrook Road
Suite 100
Middletown, CT 06457
Mailing address
330 Orchard Street
Suite 316
New Haven, CT 06511-4430
Phone (203) 781-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387256 | Other | CT | NPI |
| 1710993381 | Other | CT | NPI |
| 1356357933 | Other | CT | NPI |
| 1548275092 | Other | CT | NPI |
| 1649286220 | Other | CT | NPI |
| 1831127265 | Other | CT | NPI |
| 1952317521 | Other | CT | NPI |
| 1295741825 | Other | CT | NPI |
| 1417962093 | Other | CT | NPI |
| 1477568053 | Other | CT | NPI |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.