Organization
SHORELINE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WRINN (DIRECTOR)
(203) 688-8411
Entity
Organization
Contact information
Practice address
800 BOSTON POST RD BLDG 1, GUILFORD, CT 06437-2770
(203) 453-7100
(203) 453-7810
Mailing address
100 CHURCH ST S # MCS-2, NEW HAVEN, CT 06519-1703
(203) 688-2046
(203) 688-8817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0281
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247856
—
CT
Enumeration date
08/26/2006
Last updated
12/16/2025
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