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Organization

CONNECTICUT NEUROSURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY M BLOOMGARDEN MD (PRESIDENT)
(203) 781-3400
Entity
Organization

Contact information

Practice address
1 BRADLEY RD, SUITE 501, WOODBRIDGE, CT 06525-2285
(203) 389-2278
(203) 389-2861
Mailing address
330 ORCHARD ST, SUITE 316, NEW HAVEN, CT 06511-4417
(203) 781-3400
(203) 781-3414

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
207T00000X
Neurological Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/13/2006
Last updated
09/11/2025
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