Organization
SURGICAL ASSOC OF MERIDEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MERCURI (OFFICE MANAGER)
(203) 634-0134
Entity
Organization
Contact information
Practice address
455 LEWIS AVE, SUITE 216, MERIDEN, CT 06451-2121
(203) 634-0134
(203) 630-3961
Mailing address
455 LEWIS AVE, SUITE 216, MERIDEN, CT 06451-2121
(203) 634-0134
(203) 630-3961
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004048443
—
CT
Enumeration date
12/27/2005
Last updated
03/13/2014
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