Bloomfield Asc LLC
NPI #1255797726 in Bloomfield, Connecticut
Provider Information
- NPI Number
- 1255797726
- Entity Type
- Organization
- Organization Name
- Bloomfield Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 13, 2016
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 580 COTTAGE GROVE RD
- Address 2
- SUITE 103
- City
- Bloomfield
- State
- Connecticut
- ZIP Code
- 06002-3088
- Phone
- (914) 556-6266
Authorized Official
- Name
- MRS. CARISSA BEAULIEU
- Title
- ADMINISTRATOR
- Phone
- (860) 242-2193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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