Organization
SASCO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GIPSON MD (MANAGER)
(203) 980-0368
Entity
Organization
Contact information
Practice address
2600 POST RD, SOUTHPORT, CT 06890-1258
(203) 763-1446
Mailing address
1093 PROSPECT AVE, WEST HARTFORD, CT 06105-1104
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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