Organization
SURGICAL ASSOCIATES OF EASTERN CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R WINFIELD RAYNOR III M.D. (OWNER)
(860) 646-8888
Entity
Organization
Contact information
Practice address
116 E CENTER ST, SUITE 12, MANCHESTER, CT 06040-5215
(860) 646-8888
(860) 646-8885
Mailing address
116 E CENTER ST, SUITE 12, MANCHESTER, CT 06040-5215
(860) 646-8888
(860) 646-8885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26317
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001263177
—
CT
Enumeration date
07/03/2007
Last updated
08/20/2010
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