Organization
SOUTHWEST CONNECTICUT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE FORMEISTER (DIRECTOR BUSINESS SYSTEMS)
(860) 667-9542
Entity
Organization
Contact information
Practice address
60 DANBURY RD, WILTON, CT 06897-4406
(476) 257-6500
(475) 257-6520
Mailing address
PO BOX 1434, AVON, CT 06001-1434
(860) 667-3542
(860) 667-2066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
06/15/2021
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