# MIDDLESEX ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1972522985
- **Authorized official:** MR. KRIS MINEAU (ADMINISTRATOR)
- **Authorized official phone:** (860) 665-0174

## Contact information

- **Practice address:** 410 SAYBROOK RD, SUITE 200, MIDDLETOWN, CT 06457-4777
- **Practice address phone:** (860) 343-1240
- **Practice address fax:** (860) 343-1250
- **Mailing address:** 505 WILLARD AVE, BUILDING 3, NEWINGTON, CT 06111-2650
- **Mailing address phone:** (860) 665-0174
- **Mailing address fax:** (860) 667-2066

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/17/2007