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Organization

RIVER VALLEY ASC LLC

Active
Other names
River Valley ASC, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER GALE (ADMINSTRATOR)
(860) 859-9948
Entity
Organization

Contact information

Practice address
45 SALEM TPKE, NORWICH, CT 06360-6533
(860) 859-9948
Mailing address
45 SALEM TPKE, NORWICH, CT 06360-6533
(860) 859-9948

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000336
CT

Other

Enumeration date
11/22/2012
Last updated
09/29/2021
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