# SURGERY CENTER OF FAIRFIELD COUNTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487610390
- **Authorized official:** FAITH SUE KYCIA (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (203) 993-0315

## Contact information

- **Practice address:** 112 QUARRY RD FL 3, TRUMBULL, CT 06611-4848
- **Practice address phone:** (203) 374-1515
- **Mailing address:** 112 QUARRY RD FL 3, TRUMBULL, CT 06611-4848
- **Mailing address phone:** (203) 374-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0283 | CT | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 06/29/2021
