Connecticut Image Guided Surgery, Pc

LBN: Connecticut Image Guided Surgery, Pc
Connecticut Image Guided Surgery, Pc is an health care organization with primary practice located at 501 Kings Hwy E Ste 109, Fairfield CT 06825-4867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Connecticut Image Guided Surgery, Pc can be contacted via phone (203) 330-0248, or through Miller, Gregg via phone (610) 644-8900.

Contact Information

Primary practice address
501 Kings Hwy E Ste 109 Fairfield CT 06825-4867
Phone: (203) 330-0248
Fax: (203) 330-9730
Website:
Map and Directions
Authorized official contact:
Name: Miller, Gregg Doctor of Medicine (MD)
Phone: (610) 644-8900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1730148784
LBN Legal business name Connecticut Image Guided Surgery, Pc
DBA Doing business as
Authorized official Miller, Gregg Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730148784 NPPES
Connecticut MEDICAID 008001049

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