Connecticut Surgical Group, Pc in Farmington - Vascular Surgery
Connecticut Surgical Group, Pc - NPI 1023291622
Connecticut Surgical Group, Pc is a Vascular Surgery in Farmington, Connecticut. Connecticut Surgical Group, Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Connecticut Surgical Group, Pc is 1023291622. The last update date is 2010-08-11.
Connecticut Surgical Group, Pc's current location address is 17 Talcott Notch Rd, Farmington, Connecticut. You can contact this provider via phone number 8605242626 and fax number 8606775029. The mailing address for Connecticut Surgical Group, Pc is 17 Talcott Notch Rd, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Connecticut Surgical Group, Pc |
|---|---|
| Address | 17 Talcott Notch Rd, Farmington, Connecticut |
| Phone Number | 8605242626 |
| Fax Number | 8606775029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Mckell C Douglas |
| Telephone Number | 8605244326 |
NPI Number Detail
| NPI Number | 1023291622 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 17 Talcott Notch Rd |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60321818 |
| Phone Number | 8605242626 |
| Fax Number | 8606775029 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4139350 | CT | -- | |
| 50CONNSURCT01 | CT | ANTHEM BCBS |
Post Comment/ Review Below
What is the Connecticut Surgical Group, Pc's unique identification number?
The Connecticut Surgical Group, Pc has been assigned the NPI (National Provider Identifier) Number 1023291622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Connecticut Surgical Group, Pc's physical address?
The Connecticut Surgical Group, Pc is physically located at 17 Talcott Notch Rd, in the city of Farmington, CT, with the postal code 60321818.
What is the area of specialization for Connecticut Surgical Group, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Connecticut Surgical Group, Pc is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023291622 to Connecticut Surgical Group, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1023291622 to Connecticut Surgical Group, Pc on 2007-12-06.
As of what date were the details related to Connecticut Surgical Group, Pc most recently updated or revised?
The information pertaining to Connecticut Surgical Group, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-11.