# SOUTHWEST CONNECTICUT SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1467057372
- **Authorized official:** MRS. LUCILLE FORMEISTER (DIRECTOR BUSINESS SYSTEMS)
- **Authorized official phone:** (860) 667-9542

## Contact information

- **Practice address:** 60 DANBURY RD, WILTON, CT 06897-4406
- **Practice address phone:** (476) 257-6500
- **Practice address fax:** (475) 257-6520
- **Mailing address:** PO BOX 1434, AVON, CT 06001-1434
- **Mailing address phone:** (860) 667-3542
- **Mailing address fax:** (860) 667-2066

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 06/15/2021