Connecticut Surgical Group, Pc

LBN: Connecticut Surgical Group, Pc
Connecticut Surgical Group, Pc is an health care organization with primary practice located at 680 South Main Street Lower Level 2, Cheshire CT 06410-3190. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is the primary health care specialty. Connecticut Surgical Group, Pc can be contacted via phone (203) 238-1241, or through Mckell, Douglas C. via phone (860) 524-4326.

Contact Information

Primary practice address
680 South Main Street Lower Level 2 Cheshire CT 06410-3190
Phone: (203) 238-1241
Fax: (203) 686-0791
Website:
Map and Directions
Authorized official contact:
Name: Mckell, Douglas C.
Phone: (860) 524-4326

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1922170786
LBN Legal business name Connecticut Surgical Group, Pc
DBA Doing business as
Authorized official Mckell, Douglas C.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 2nd, 2011 - about 14 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 1922170786 NPPES
Connecticut Other 87090 AETNA
Connecticut Other 0000S02059 AETNA
Connecticut MEDICAID 004139350 AETNA
Connecticut Other G384943 AETNA
Connecticut Other 50CONNSURCT01 AETNA
Connecticut MEDICAID 9781188 AETNA

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