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Contact Information

CONNECTICUT IMAGE GUIDED SURGERY, PC
1152 KINGS HIGHWAY CUTOFF STE 104
FAIRFIELD, CT06824-5273
 Phone: 203-330-0248
 Fax: 203-330-9730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for CONNECTICUT IMAGE GUIDED SURGERY, PC

NPI Number 1730148784
LBN Legal business name CONNECTICUT IMAGE GUIDED SURGERY, PC
Authorized official GREGG MILLER - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2006
Last updated 05/08/2026 - About a month ago
Identifiers
CT Medicaid 008001049
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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