VISWA NATHAN MD LLC
Managed Care Organizations at Sherman Ave, New Haven, CT

License number
Connecticut 022726
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. VISWA NATHAN M.D.
Title: OWNER
Phone: (203) 946-3000
Address
Address
136 Sherman Ave SUITE 308, New Haven, CT 06511
National Provider ID: 1346558350
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VISWA NATHAN M.D., LLC

175 Sherman Ave, New Haven, CT 06511

Industry:
Medical Doctor's Office
Doing business as:
Viswa Nathan MD LLC
Registration:
Aug 16, 2010
Phone:
(203) 946-3000 (Phone)
State ID:
1012695
Business type:
Domestic Limited Liability Company
MEMBER, Cardiac Surgery (Thoracic Sgy), Medical Doctor, Owner, Principal:
Viswa Nathan (MEMBER, Cardiac Surgery (Thoracic Sgy), Medical Doctor, Owner, Principal), 175 Sherman Ave, New Haven, CT 06511 (Mailing)
40 Grouse Ln, Woodbridge, CT 06525 (Physical)
Agent:
Paul L. Behling,C/O Withers Bergman Llp, New Haven, CT 06510 (Mailing)
1670 Hartford Tpke, North Haven, CT 06473 (Physical)
Categories:
Physicians & Surgeons

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