Western Connecticut Thoracic Surgery
NPI #1861772022 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1861772022
- Entity Type
- Organization
- Organization Name
- Western Connecticut Thoracic Surgery
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Aug 19, 2011
- Last Updated
- Aug 19, 2011
Practice Location
- Address
- 10 SOUTH ST
- Address 2
- SUITE 202
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-4124
- Phone
- (203) 403-3490
Authorized Official
- Name
- DR. SHAWN TITTLE
- Title
- PRESIDENT
- Phone
- (203) 403-3490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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