Organization
GREENWICH AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L ROSENQUEST (ADMINISTRATOR)
(860) 833-2375
Entity
Organization
Contact information
Practice address
55 HOLLY HILL LN, GREENWICH, CT 06830-6074
(860) 833-2375
Mailing address
PO BOX 181, CROTON FALLS, NY 10519-0181
(860) 833-2375
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
12/30/2008
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