# GLASTONBURY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1669701157
- **Authorized official:** CHERYL PARENT (ADMINISTRATOR)
- **Authorized official phone:** (860) 633-0003

## Contact information

- **Practice address:** 195 EASTERN BLVD, GLASTONBURY, CT 06033-1208
- **Practice address phone:** (860) 633-0003
- **Practice address fax:** (860) 633-2764
- **Mailing address:** 195 EASTERN BLVD, GLASTONBURY, CT 06033-1208
- **Mailing address phone:** (860) 633-0003
- **Mailing address fax:** (860) 633-2764

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 03/27/2025