Organization
SURGERY CENTER OF FAIRFIELD COUNTY LLC
Active
Other names
HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH SUE KYCIA (CHIEF ADMINISTRATIVE OFFICER)
(203) 993-0315
Entity
Organization
Contact information
Practice address
112 QUARRY RD FL 3, TRUMBULL, CT 06611-4848
(203) 374-1515
Mailing address
112 QUARRY RD FL 3, TRUMBULL, CT 06611-4848
(203) 374-1515
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0283
CT
Other
Enumeration date
04/21/2006
Last updated
06/29/2021
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