NPI 1730674532 · live from the CMS NPI Registry
Charter Anesthesiology LLC
Anesthesiology in West Hartford, CT. National Provider Identifier 1730674532, active.
NPI record
| NPI | 1730674532 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1093 Prospect Ave, West Hartford, CT 06105 |
| Practice phone | 203-980-0368 |
| Mailing address | 151 N Main St, Bristol, CT 06010 |
| Enumerated | June 25, 2018 |
| Last updated | August 27, 2020 |
| Authorized official | Keith Gipson, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.