Connecticut Surgical Group PC
Surgery in Farmington, CT. Organization (NPI-2).
NPI number1326048984
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1326048984
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Surgical Group PC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | CT | Yes |
| 208200000X | Plastic Surgery | – | – | |
| 2082S0105X | Plastic Surgery, Surgery of the Hand | – | – | |
| 2086S0105X | Surgery, Surgery of the Hand | – | – | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | |
| 2086S0129X | – | – | ||
| 2086X0206X | Surgery, Surgical Oncology | – | – | |
| 208800000X | Urology | – | – | |
| 208C00000X | Colon & Rectal Surgery | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 364SM0705X | Clinical Nurse Specialist, Medical-Surgical | – | – |
Practice location
17 Talcott Notch RdFarmington, CT 06032-1818
Phone 860-246-2071 · Fax 860-524-2650
Mailing address
17 Talcott Notch RdFarmington, CT 06032-1818
Phone 860-524-2626 · Fax 860-677-5029
Authorized official
Douglas C Mckell
Chief Administrative Officer
8605244326
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