Organization
COASTAL CONNECTICUT VASCULAR ASC LLC
Active
Other names
Azura Surgery Center Connecticut
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
1152 KINGS HIGHWAY CUTOFF, STE 102, FAIRFIELD, CT 06824-5273
(203) 330-0248
(203) 330-9730
Mailing address
PO BOX 411955, BOSTON, MA 02241-1955
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
11/18/2025
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