Organization
FAIRFIELD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WALLACE (ADMINISTRATOR)
(203) 231-5595
Entity
Organization
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2660
(203) 337-2665
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2660
(203) 337-2665
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0268
CT
Other
Enumeration date
05/23/2007
Last updated
01/18/2023
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