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Organization
ADVANCED COLON CARE INC
Active
Organization
ADVANCED COLON CARE INC
Active
Other names
SHORELINE COLONOSCOPY SUITES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURIZIO DOMENICO NICHELE (PRESIDENT)
(860) 395-0554
Entity
Organization
Contact information
Practice address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(860) 395-0554
(860) 395-0448
Mailing address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(860) 395-0554
(860) 395-0448
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/10/2006
Last updated
06/28/2013
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