Organization
PRIMED GASTROENTEROLOGY, LLC
Active
Parent organization
PRIMED, LLC
Other names
Fairfield County Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMED, LLC
Authorized official
DR. EDWIN LEVINE MD (MEDICAL DIRECTOR)
(203) 268-1193
Entity
Organization
Contact information
Practice address
888 WHITE PLAINS RD, SUITE 210, TRUMBULL, CT 06611-4552
(203) 268-1193
Mailing address
888 WHITE PLAINS RD, SUITE 210, TRUMBULL, CT 06611-4552
(203) 268-1193
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0276
CT
Other
Enumeration date
08/03/2006
Last updated
04/24/2015
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