Organization
EAST BAY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS MINEAU (ADMINISTRATOR)
(860) 665-0174
Entity
Organization
Contact information
Practice address
440 SWANSEA MALL DR, SWANSEA, MA 02777-4114
(508) 324-1171
(508) 324-1181
Mailing address
505 WILLARD AVE, BUILDING 3, NEWINGTON, CT 06111-2650
(860) 665-0174
(860) 667-2066
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/17/2007
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