CONNECTICUT IMAGE GUIDED SURGERY PC NPI 1730148784

NPI Information

CONNECTICUT IMAGE GUIDED SURGERY, PC is a vascular and interventional radiology radiology in Fairfield, CT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. CONNECTICUT IMAGE GUIDED SURGERY, PC NPI is 1730148784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 KINGS HWY E
STE 109
FAIRFIELD, CT
ZIP 06825-867
Phone: (203) 330-0248
Fax: (203) 330-9730

The provider's authorized official is Gregg Miller .
The authorized official title is Authorized Official and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 07D1089799 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 7/10/2023.

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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