Constitution Surgery Center East LLC
NPI #1588681373 in Waterford, Connecticut
Provider Information
- NPI Number
- 1588681373
- Entity Type
- Organization
- Organization Name
- Constitution Surgery Center East LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 16, 2006
- Last Updated
- May 18, 2015
Practice Location
- Address
- 174 CROSS RD
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-1215
- Phone
- (860) 701-0140
Authorized Official
- Name
- MR. KRIS MINEAU
- Title
- ADMINISTRATOR
- Phone
- (860) 667-1815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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