Connecticut Surgical Group, Pc
LBN: Connecticut Surgical Group, Pc
Connecticut Surgical Group, Pc is an health care organization with primary practice located at 330 Western Blvd , Glastonbury CT 06033-1236. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, 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) 246-2071, or through Mckell, Douglas C via phone (860) 524-4326.
Contact Information
Primary practice address
330 Western Blvd
Glastonbury CT 06033-1236
Phone: (860) 246-2071
Fax: (860) 524-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ||
| 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 | 1164406518 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164406518 | NPPES |
| New York | MEDICAID | 01926310 | |
| New York | MEDICAID | 004139350 | |
| New York | MEDICAID | 9781188 | |
| New York | MEDICAID | 0040201034 | |
| New York | MEDICAID | 004069711 | |
| New York | Other | 50CONNSURCT01 |
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