Digestive Disease Associates Endoscopy Suite, LLC
Clinic/Center, Ambulatory Surgical in Branford, Connecticut
1972758183- Practice location
- 687 Main St, Branford, CT 06405-3612
- Phone
- 203-481-0315
- Fax
- 203-488-6945
- Last updated
- March 4, 2022
Digestive Disease Associates Endoscopy Suite, LLC is a healthcare organization based in Branford, CT. Digestive Disease Associates Endoscopy Suite, LLC practices in Branford, CT. The NPI Number for Digestive Disease Associates Endoscopy Suite, LLC is 1972758183 and holds a License No. 0322 (CT). The current practice location address for Digestive Disease Associates Endoscopy Suite, LLC is 687 Main St, Branford, CT 06405-3612 and can be reached out via phone at 203-481-0315 and via fax at 203-488-6945.
Provider Profile Details
- NPI Number
- 1972758183
- Provider Name
- Digestive Disease Associates Endoscopy Suite, LLC
- Provider Entity Type
- Organization
- Address
- 687 Main St, Branford, CT 06405-3612
- Phone Number
- 203-481-0315
- Fax Number
- 203-488-6945
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- No
- Authorized Official
- Christopher Dunbar Illick · Partner · 203-481-0315
- Provider Enumeration Date
- December 2, 2008
- Last Update Date
- March 4, 2022
- Certification Date
- March 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 687 Main St
Branford, CT 06405-3612 - City
- Branford
- State
- Connecticut
- Zip
- 06405-3612
- Phone Number
- 203-481-0315
- Fax Number
- 203-488-6945
Provider Business Mailing Address Details
- Address
- 687 Main St
Branford, CT 06405-3612 - City
- Branford
- State
- CT
- Zip
- 06405-3612
- Phone Number
- 203-481-0315
- Fax Number
- 203-488-6945
License Information
- License Number
- 0322
- 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 Digestive Disease Associates Endoscopy Suite, LLC?
The NPI number of Digestive Disease Associates Endoscopy Suite, LLC is 1972758183. It was assigned on December 2, 2008 and is currently active in the NPPES registry.
What is the specialty of Digestive Disease Associates Endoscopy Suite, LLC?
Digestive Disease Associates Endoscopy Suite, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X), licensed in CT under license number 0322.
Where does Digestive Disease Associates Endoscopy Suite, LLC practice?
The practice location is 687 Main St, Branford, CT 06405-3612. The office can be reached at 203-481-0315 (phone) or 203-488-6945 (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 1972758183 directly on the NPPES registry website.