Organization
CIVIC WILTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ELLEN ROTTURA (CHIEF OPERATIONS OFFICER)
(561) 323-8987
Entity
Organization
Contact information
Practice address
249 DANBURY ROAD, WILTON, CT 06897
(816) 537-3433
(816) 537-3431
Mailing address
249 DANBURY RD, WILTON, CT 06897-4070
(816) 537-3431
(816) 537-3431
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
039079
CT
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
04/16/2026
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