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Contact Information

CONNECTICUT SURGEONS, LLC
95 WOODLAND ST
SECOND FLOOR
HARTFORD, CT06105
 Phone: 860-714-7447
 Fax: 860-727-0242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CONNECTICUT SURGEONS, LLC

NPI Number 1467544239
LBN Legal business name CONNECTICUT SURGEONS, LLC
Authorized official IBRAHIM DAOUD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 05/29/2018 - About 8 years ago
Identifiers
CT Medicaid 001331066
CT Medicaid 004245602
CT Other 3962260 BARBA AETNA
CT Other 010033106CT03 BARBA BCBS
CT Other 00133106602 BARBA BCFP
CT Other 1200451012 BARBA CIGNA
CT Other 622478 BARBA CTCARE
CT Other 2V6493 BARBA HEALTHNET
CT Other 1679581359 BARBA NPI
CT Other P3887114 BARBA OXFORD
CT Other 400002988CT01 HONORE BCBS ANTHEM
CT Other 2V5964 HONORE HEALTHNET
CT Other 1487663118 HONORE NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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