Windham Surgical Group, P.c.

NPI #1609806397 in Willimantic, Connecticut

Provider Information

NPI Number: 1609806397
Entity Type: Organization
Organization Name: Windham Surgical Group, P.c.
Primary Specialty: Specialist
Enumeration Date: Jul 5, 2006
Last Updated: May 20, 2008

Practice Location

Address: 162 MANSFIELD AVE # B
City: Willimantic
State: Connecticut
ZIP Code: 06226-2041
Phone: (860) 423-5000

Authorized Official

Name: MR. HERBERT W. RIDYARD JR., M.D.
Title: PRESIDENT
Phone: (860) 423-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Surgical Associates of Windham PC	Specialist	Willimantic	AI Deep Dive

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