SURGICAL SPECIALISTS PC NPI 1497874945

NPI Information

SURGICAL SPECIALISTS PC is a specialist in Waterbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SURGICAL SPECIALISTS PC NPI is 1497874945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

134 GRANDVIEW AVE
SUITE 209
WATERBURY, CT
ZIP 06708-507
Phone: (203) 755-6666
Fax: (203) 573-6735

The provider's authorized official is Jayakara Shetty .
The authorized official title is President and has the following contact phone number (203) 755-6666.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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