Organization
CONNECTICUT NEUROSURGERY, PC
Active
Organization
CONNECTICUT NEUROSURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M BLOOMGARDEN MD (PRESIDENT)
(203) 781-3400
Entity
Organization
Contact information
Practice address
20 COMMERCE PARK, MILFORD, CT 06460
(203) 876-5025
(203) 781-3414
Mailing address
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT 06511-4430
(203) 781-3400
(203) 781-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
023954
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710993381
NPI
CT
01
—
1831127265
NPI
CT
Enumeration date
05/04/2007
Last updated
08/22/2020
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