Organization
CONNECTICUT ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE FORMEISTER (MANAGER)
(860) 667-9542
Entity
Organization
Contact information
Practice address
205 SUB WAY DRIVE, MILFORD, CT 06461
(860) 667-9542
(860) 667-2066
Mailing address
205 SUB WAY, MILFORD, CT 06461
(860) 667-9542
(860) 667-2066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
11/19/2019
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