# CONNECTICUT NEUROSURGERY PC

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

## Provider details

- **NPI number:** 1093805079
- **Authorized official:** GARY M BLOOMGARDEN MD (PRESIDENT)
- **Authorized official phone:** (203) 781-3400

## Contact information

- **Practice address:** 1 BRADLEY RD, SUITE 501, WOODBRIDGE, CT 06525-2285
- **Practice address phone:** (203) 389-2278
- **Practice address fax:** (203) 389-2861
- **Mailing address:** 330 ORCHARD ST, SUITE 316, NEW HAVEN, CT 06511-4417
- **Mailing address phone:** (203) 781-3400
- **Mailing address fax:** (203) 781-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 09/11/2025