Organization
COLON ANDRECTAL SURGEONS OF FAIRFIELD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A PICCIOLI BA (PRACTICE ADMINISTRATOR)
(203) 331-8700
Entity
Organization
Contact information
Practice address
2660 MAIN ST, SUITE 302, BRIDGEPORT, CT 06606-5369
(203) 331-8700
(203) 335-5819
Mailing address
2660 MAIN ST, SUITE 302, BRIDGEPORT, CT 06606-5369
(203) 331-8700
(203) 335-5819
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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