Surgical Specialists PC
Specialist in Waterbury, Connecticut
1497874945- Practice location
- 134 Grandview Ave, Suite 209, Waterbury, CT 06708-2507
- Phone
- 203-755-6666
- Fax
- 203-573-6735
- Last updated
- November 3, 2009
Surgical Specialists PC is a healthcare organization based in Waterbury, CT. Surgical Specialists PC practices in Waterbury, CT. The NPI Number for Surgical Specialists PC is 1497874945 and holds a License No. 024773 (CT). The current practice location address for Surgical Specialists PC is 134 Grandview Ave, Suite 209, Waterbury, CT 06708-2507 and can be reached out via phone at 203-755-6666 and via fax at 203-573-6735.
Provider Profile Details
- NPI Number
- 1497874945
- Provider Name
- Surgical Specialists PC
- Provider Entity Type
- Organization
- Address
- 134 Grandview Ave, Suite 209, Waterbury, CT 06708-2507
- Phone Number
- 203-755-6666
- Fax Number
- 203-573-6735
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jayakara Shetty, MD · President · 203-755-6666
- Provider Enumeration Date
- March 28, 2007
- Last Update Date
- November 3, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 134 Grandview Ave
Suite 209
Waterbury, CT 06708-2507 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2507
- Phone Number
- 203-755-6666
- Fax Number
- 203-573-6735
Provider Business Mailing Address Details
- Address
- 134 Grandview Ave
Suite 209
Waterbury, CT 06708-2507 - City
- Waterbury
- State
- CT
- Zip
- 06708-2507
- Phone Number
- 203-755-6666
- Fax Number
- 203-573-6735
License Information
- License Number
- 024773
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Surgical Specialists PC?
The NPI number of Surgical Specialists PC is 1497874945. It was assigned on March 28, 2007 and is currently active in the NPPES registry.
What is the specialty of Surgical Specialists PC?
Surgical Specialists PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 024773.
Where does Surgical Specialists PC practice?
The practice location is 134 Grandview Ave, Suite 209, Waterbury, CT 06708-2507. The office can be reached at 203-755-6666 (phone) or 203-573-6735 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497874945 directly on the NPPES registry website.