| NPI | 1407864762 |
|---|---|
| Doing Business As | FAIRFIELD COUNTY ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWIN LEVINE Medical Director 203-268-1193 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CT 0276) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-04-24 |