Eastern Connecticut Surgical Care

LBN: Eastern Connecticut Surgical Care
Eastern Connecticut Surgical Care is an health care organization with primary practice located at 4 Shaws Cove Suite 201, New London CT 06320. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Eastern Connecticut Surgical Care can be contacted via phone (860) 440-3070, or through Clement, Ronald E via phone (860) 440-3070.

Contact Information

Primary practice address
4 Shaws Cove Suite 201 New London CT 06320
Fax: (860) 444-7692
Website:
Authorized official contact:
Name: Clement, Ronald E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 027529 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 027529 Connecticut

Profile Details

NPI number 1861613010
LBN Legal business name Eastern Connecticut Surgical Care
DBA Doing business as
Authorized official Clement, Ronald E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Feb 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 1861613010 NPPES
Connecticut MEDICAID 004396033
Connecticut MEDICAID 001275298

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