Organization
CONNECTICUT IMAGE GUIDED SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG MILLER M.D. (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
1152 KINGS HIGHWAY CUTOFF STE 104, FAIRFIELD, CT 06824-5273
(203) 330-0248
(203) 330-9730
Mailing address
PO BOX 416139, BOSTON, MA 02241-6139
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001049
—
CT
Enumeration date
03/20/2006
Last updated
05/08/2026
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