# FAIRFIELD SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1881804508
- **Authorized official:** CHARLES WALLACE (ADMINISTRATOR)
- **Authorized official phone:** (203) 231-5595

## Contact information

- **Practice address:** 305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
- **Practice address phone:** (203) 337-2660
- **Practice address fax:** (203) 337-2665
- **Mailing address:** 305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
- **Mailing address phone:** (203) 337-2660
- **Mailing address fax:** (203) 337-2665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0268 | CT | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 01/18/2023