Organization
GENERAL AND LAPROSCOPIC SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE NICASTRI (OFFICE MANAGER)
(203) 732-3443
Entity
Organization
Contact information
Practice address
300 SYMOUR AVE, STE 202, DERBY, CT 06418-1343
(203) 732-3443
(203) 732-4011
Mailing address
300 SYMOUR AVE, STE 202, DERBY, CT 06418-1343
(203) 732-3443
(203) 732-4011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CT
Other
Enumeration date
07/03/2006
Last updated
07/21/2022
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