Surgical Associates Of Windham Pc in Willimantic - Specialist

Surgical Associates Of Windham Pc - NPI 1700946068

Surgical Associates Of Windham Pc is a Specialist in Willimantic, Connecticut. Surgical Associates Of Windham Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Surgical Associates Of Windham Pc is 1700946068. The last update date is 2011-03-24.

Surgical Associates Of Windham Pc's current location address is 90 Quarry St, Willimantic, Connecticut. You can contact this provider via phone number 8604507222. The mailing address for Surgical Associates Of Windham Pc is 90 Quarry St, Willimantic, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Surgical Associates Of Windham Pc
Address 90 Quarry St, Willimantic, Connecticut
Phone Number 8604507222
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Siracusa Francis
Credentials MD
Telephone Number 8604507222

NPI Number Detail

NPI Number 1700946068
Provider Enumeration Date 2006-12-09
Last Updated Date 2011-03-24

Provider Mailing Address Detail

Address 90 Quarry St
City Willimantic
State Connecticut (CT)
Post Code 62261225
Phone Number 8604507222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 26454
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1264548 CT --

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FAQs about Surgical Associates Of Windham Pc

What is the unique 10-digit identifier code assigned to Surgical Associates Of Windham Pc by the Centers for Medicare & Medicaid Services?

The Surgical Associates Of Windham Pc has been issued the NPI (National Provider Identifier) 1700946068 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Surgical Associates Of Windham Pc is physically located?

The Surgical Associates Of Windham Pc is situated at the following address: 90 Quarry St, Willimantic, CT 62261225.

What is Surgical Associates Of Windham Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Surgical Associates Of Windham Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date was the 1700946068 assigned to Surgical Associates Of Windham Pc?

The Surgical Associates Of Windham Pc was issued its 1700946068 on 2006-12-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Surgical Associates Of Windham Pc most recently updated or revised?

The information pertaining to Surgical Associates Of Windham Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-24.

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