Organization
USACS OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC J BAGNOLI JR. MD (EXEC CHAIR)
(330) 493-4443
Entity
Organization
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(330) 493-4443
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
11/03/2006
Last updated
10/16/2019
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