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Contact Information

CONNECTICUT SURGICAL GROUP, PC
680 SOUTH MAIN STREET
LOWER LEVEL 2
CHESHIRE, CT06410-3190
 Phone: 203-238-1241
 Fax: 203-686-0791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for CONNECTICUT SURGICAL GROUP PC · (Female)

NPI # 1922170786
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2006
Last updated 03/02/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004139350
  • MA Medicaid 9781188
  • CT Other 87090 AETNA
  • CT Other 50CONNSURCT01 ANTHEM BCBS
  • CT Other 0000S02059 CSMS-IPA
  • CT Other G384943 OXFORD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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