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CONNECTICUT SURGICAL GROUP PC NPI 1952589434


NPI Information

NPI: 1952589434
Provider Name: CONNECTICUT SURGICAL GROUP, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
29 HAYNES ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 547-0616
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CONNECTICUT SURGICAL GROUP, PC is a durable medical equipment medical supplies in Manchester, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CONNECTICUT SURGICAL GROUP, PC NPI is 1952589434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29 HAYNES ST
MANCHESTER, CT
ZIP 06040-139
Phone: (860) 547-0616
Fax: (860) 524-2655

The provider's authorized official is Douglas C. Mckell .
The authorized official title is Cao and has the following contact phone number (860) 524-4326.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 8/11/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11028630011MEDICARE NSCCONNECTICUT
201926310MEDICAIDNEW YORK
39781188MEDICAIDMASSACHUSETTS
4004201034MEDICAIDCONNECTICUT
5004139350MEDICAIDCONNECTICUT
6004169711MEDICAIDCONNECTICUT
7C06187MEDICARE PINCONNECTICUT
850CONNSURG01OTHERCONNECTICUTANTHEM
9C02779MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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