Constitution Surgery Center East LLC
Clinic/Center, Ambulatory Surgical in Waterford, Connecticut
1588681373- Practice location
- 140 Cross RD, Waterford, CT 06385-1215
- Phone
- 860-701-0140
- Fax
- 860-701-0161
- Last updated
- October 28, 2026
Constitution Surgery Center East LLC is a healthcare organization based in Waterford, CT. Constitution Surgery Center East LLC practices in Waterford, CT. The NPI Number for Constitution Surgery Center East LLC is 1588681373 and holds a License No. 0272 (CT). The current practice location address for Constitution Surgery Center East LLC is 140 Cross RD, Waterford, CT 06385-1215 and can be reached out via phone at 860-701-0140 and via fax at 860-701-0161.
Provider Profile Details
- NPI Number
- 1588681373
- Provider Name
- Constitution Surgery Center East LLC
- Provider Entity Type
- Organization
- Address
- 140 Cross RD, Waterford, CT 06385-1215
- Phone Number
- 860-701-0140
- Fax Number
- 860-701-0161
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- No
- Authorized Official
- Dwayne F Kertanis · Svp · 860-701-0140
- Provider Enumeration Date
- July 16, 2006
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Cross RD
Waterford, CT 06385-1215 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-1215
- Phone Number
- 860-701-0140
- Fax Number
- 860-701-0161
Provider Business Mailing Address Details
- Address
- 140 Cross RD
Waterford, CT 06385-1215 - City
- Waterford
- State
- CT
- Zip
- 06385-1215
- Phone Number
- 860-701-0140
- Fax Number
- 860-701-0161
License Information
- License Number
- 0272
- License State
- CT
- Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X · 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 Constitution Surgery Center East LLC?
The NPI number of Constitution Surgery Center East LLC is 1588681373. It was assigned on July 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Constitution Surgery Center East LLC?
Constitution Surgery Center East LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X), licensed in CT under license number 0272.
Where does Constitution Surgery Center East LLC practice?
The practice location is 140 Cross RD, Waterford, CT 06385-1215. The office can be reached at 860-701-0140 (phone) or 860-701-0161 (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 1588681373 directly on the NPPES registry website.