Connecticut Surgical Group, Pc

LBN: Connecticut Surgical Group, Pc
Connecticut Surgical Group, Pc is an health care organization with primary practice located at 85 Seymour St Ste 409, Hartford CT 06106. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Connecticut Surgical Group, Pc can be contacted via phone (860) 547-0616, or through Mckell, Douglas C via phone (860) 524-4326.

Contact Information

Primary practice address
85 Seymour St Ste 409 Hartford CT 06106
Phone: (860) 547-0616
Fax: (860) 524-2655
Website:
Map and Directions
Authorized official contact:
Name: Mckell, Douglas C
Phone: (860) 524-4326

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1053395400
LBN Legal business name Connecticut Surgical Group, Pc
DBA Doing business as
Authorized official Mckell, Douglas C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Aug 11th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053395400 NPPES
New York MEDICAID 01926310
New York MEDICAID 9781188
New York MEDICAID 004169711
New York Other 50CONNSURCT01
New York MEDICAID 004201034
New York Other 87090
New York Other 0000S02059

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