Organization
SUEDE SURGICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD MAHER SUEDE MD. (OWNER)
(860) 432-2100
Entity
Organization
Contact information
Practice address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 432-2100
(860) 432-5330
Mailing address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 432-2100
(860) 432-5330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036834
CT
Other
Enumeration date
01/13/2010
Last updated
08/06/2013
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