EASTERN CONNECTICUT SURGICAL CARE NPI 1861613010

NPI Information

  • NPI: 1861613010
  • Provider Name: EASTERN CONNECTICUT SURGICAL CARE
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 4 SHAWS COVE
    SUITE 201
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 440-3070

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NPI Details

EASTERN CONNECTICUT SURGICAL CARE is a surgery in New London, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. EASTERN CONNECTICUT SURGICAL CARE NPI is 1861613010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4 SHAWS COVE
SUITE 201
NEW LONDON, CT
ZIP 06320
Phone: (860) 440-3070
Fax: (860) 444-7692

The provider's authorized official is Ronald E Clement .
The authorized official title is Owner and has the following contact phone number (860) 440-3070.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 2/11/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist027529CONNECTICUTNo
2208600000XSurgery027529CONNECTICUTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020001343MEDICARE PINCONNECTICUT
2C02172MEDICARE PINCONNECTICUT
3E40902MEDICARE UPINCONNECTICUT
4004396033MEDICAIDCONNECTICUT
5001275298MEDICAIDCONNECTICUT

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: 11/21/2025

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