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NPI Code Detail

MEDICARE: NORTH HAVEN SURGERY CENTER LLC

MEDICARE: NORTH HAVEN SURGERY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center0306CT

General Provider Information

NPI Number : 1841231792
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH HAVEN SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 52 WASHINGTON AVE
Second Line : STE 1
City : NORTH HAVEN
State : CT
Zip : 06473-1724
Country : US
Telephone Number : 203-234-7727
Fax Number : 203-234-7114
Provider Business Practice Location Address
First Line : 52 WASHINGTON AVE
Second Line : STE 1
City : NORTH HAVEN
State : CT
Zip : 06473-1724
Country : US
Telephone Number : 203-234-7727
Fax Number : 203-234-7114
Authorized Official
Title or Position : OFFICER/AUTHORIZED OFFICIAL
Name : JONATHAN BAILEY
Credential :
Telephone Number : 203-609-1168
Provider Enumeration Date : 06/10/2006
Last Update Date : 10/14/2024

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Directions to “NORTH HAVEN SURGERY CENTER LLC ” Practice Location

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