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Organization
SOUTHWEST CONNECTICUT SURGERY CENTER, LLC
Active
Organization
SOUTHWEST CONNECTICUT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE FORMEISTER (DIRECTOR BUSINESS SYSTEMS)
(860) 667-9542
Entity
Organization
Contact information
Practice address
60 DANBURY RD, WILTON, CT 06897-4406
(476) 257-6500
(475) 257-6520
Mailing address
PO BOX 1434, AVON, CT 06001-1434
(860) 667-3542
(860) 667-2066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/01/2020
Last updated
06/15/2021
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