Organization
SUMMER STREET ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN VULCANO (CHIEF ADMINISTRATIVE OFFICER)
(914) 556-6266
Entity
Organization
Contact information
Practice address
1290 SUMMER ST, STAMFORD, CT 06905-5360
(914) 556-6266
Mailing address
1290 SUMMER ST, STAMFORD, CT 06905-5360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0299
CT
Other
Enumeration date
10/06/2015
Last updated
12/21/2020
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