# CONNECTICUT GI ENDOSCOPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063593952
- **Authorized official:** DR. JOSEPH A CAPPA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (860) 242-0079

## Contact information

- **Practice address:** 4 NORTHWESTERN DRIVE, BLOOMFIELD, CT 06002-3444
- **Practice address phone:** (860) 242-0079
- **Practice address fax:** (860) 242-2389
- **Mailing address:** 4 NORTHWESTERN DRIVE, BLOOMFIELD, CT 06002-3444
- **Mailing address phone:** (860) 242-0079
- **Mailing address fax:** (860) 242-2389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020