CONNECTICUT SURGICAL GROUP PC NPI 1972586675

NPI Information

CONNECTICUT SURGICAL GROUP, PC is a durable medical equipment medical supplies in Southington, 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 1972586675. The provider is registered as an organization entity type.

The provider's business location address is:

98 MAIN ST
SUITE 303
SOUTHINGTON, CT
ZIP 06489-500
Phone: (203) 238-1241
Fax: (860) 686-0791

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

The CLIA number assigned to this NPI record is 07D2262336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 10/21/2010.

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:

Other Identifiers

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

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