Organization
SURGICAL ASSOCIATES OF BRISTOL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J SCOPPETA M.D. (PRESIDENT)
(860) 582-1220
Entity
Organization
Contact information
Practice address
85 BELEDEN GARDENS DR, BRISTOL, CT 06010-5834
(860) 582-1220
(860) 582-6255
Mailing address
85 BELEDEN GARDENS DR, BRISTOL, CT 06010-5834
(860) 582-1220
(860) 582-6255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004395192
—
CT
Enumeration date
09/05/2007
Last updated
06/23/2008
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