Organization
SURGICAL ASSOCIATES OF CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHY DEMESTIHAS MD (PRESIDENT)
(203) 332-4744
Entity
Organization
Contact information
Practice address
2660 MAIN ST, SUITE 110, BRIDGEPORT, CT 06606-5369
(203) 332-4744
Mailing address
2660 MAIN ST, SUITE 110, BRIDGEPORT, CT 06606-5369
(203) 332-4744
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
030627
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4133972
—
CT
Enumeration date
02/12/2007
Last updated
08/22/2020
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