Connecticut Surgical Group, Pc

LBN: Connecticut Surgical Group, Pc
Connecticut Surgical Group, Pc is an health care organization with primary practice located at 100 Hazard Avenue Suite 206, Enfield CT 06082-5447. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Surgery, 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
100 Hazard Avenue Suite 206 Enfield CT 06082-5447
Phone: (860) 246-2071
Fax: (860) 524-2650
Website:
Map and Directions
Authorized official contact:
Name: Mckell, Douglas C
Phone: (860) 524-4326

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X
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 1700940509
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 Dec 19th, 2006
Last updated Mar 2nd, 2011 - about 13 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 1700940509 NPPES
Connecticut MEDICAID 004139350
Connecticut MEDICAID 004201034
Connecticut Other 87090
Connecticut MEDICAID 9781188
Connecticut MEDICAID 004169711
Connecticut MEDICAID 01926310
Connecticut Other 50CONNSURCT01

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