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Organization

CONNECTICUT NEUROSURGICAL SPECIALISTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH IRWIN LIPOW MD (PRESIDENT)
(203) 384-4500
Entity
Organization

Contact information

Practice address
267 GRANT STREET, SCHINE 8, BRIDGEPORT, CT 06610-2805
(203) 384-4500
(203) 384-3812
Mailing address
267 GRANT STREET, SCHINE 8, BRIDGEPORT, CT 06610-2805
(203) 384-4500
(203) 384-3812

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
026386
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001263862
CT
05
001359018
CT
Enumeration date
06/12/2007
Last updated
03/01/2013
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