Organization
SURGICAL ASSOCIATES OF WINDHAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS SIRACUSA MD (PRESIDENT)
(860) 450-7222
Entity
Organization
Contact information
Practice address
90 QUARRY ST, WILLIMANTIC, CT 06226-1225
(860) 450-7222
Mailing address
90 QUARRY ST, WILLIMANTIC, CT 06226-1225
(860) 450-7222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026454
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264548
—
CT
Enumeration date
12/09/2006
Last updated
03/24/2011
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