Surgical Group Pc

LBN: Surgical Group Pc
Surgical Group Pc is an health care organization with primary practice located at 1000 Asylum Ave Suite 2118, Hartford CT 06105-1770. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Group Pc can be contacted via phone (860) 249-8595, or through Matino, James J via phone (860) 249-8595.

Contact Information

Primary practice address
1000 Asylum Ave Suite 2118 Hartford CT 06105-1770
Phone: (860) 249-8595
Fax: (860) 249-0365
Website:
Map and Directions
Authorized official contact:
Name: Matino, James J Doctor of Medicine (MD)
Phone: (860) 249-8595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1770533978
LBN Legal business name Surgical Group Pc
DBA Doing business as
Authorized official Matino, James J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jun 23rd, 2008 - about 16 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 1770533978 NPPES
Connecticut MEDICAID 004394665

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