Southport Surgery Center LLC
NPI #1134857501 in Southport, Connecticut
Provider Information
- NPI Number
- 1134857501
- Entity Type
- Organization
- Organization Name
- Southport Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 12, 2022
- Last Updated
- Aug 12, 2022
Practice Location
- Address
- 2600 POST RD
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-1258
- Phone
- (203) 980-0368
Authorized Official
- Name
- KEITH GIPSON, MD
- Title
- MANAGER
- Phone
- (203) 980-0368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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