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Organization

ADVANCED COLON CARE INC

Active
Other names
SHORELINE COLONOSCOPY SUITES
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAURIZIO DOMENICO NICHELE (PRESIDENT)
(860) 395-0554
Entity
Organization

Contact information

Practice address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(860) 395-0554
(860) 395-0448
Mailing address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(860) 395-0554
(860) 395-0448

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
07/10/2006
Last updated
06/28/2013
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