Organization
EASTERN CONNECTICUT SURGICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E CLEMENT MD (OWNER)
(860) 440-3070
Entity
Organization
Contact information
Practice address
4 SHAWS COVE, SUITE 201, NEW LONDON, CT 06320
(860) 440-3070
(860) 444-7692
Mailing address
4 SHAWS COVE, SUITE 201, NEW LONDON, CT 06320
(860) 440-3070
(860) 444-7692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027529
CT
208600000X
Surgery Physician
Primary
027529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001275298
—
CT
05
—
004396033
—
CT
Enumeration date
05/02/2007
Last updated
02/11/2010
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