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1417780172
COASTAL CONNECTICUT VASCULAR ASC LLC
FAIRFIELD, CT
NPI
1417780172
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Entity Type
Organization
Authorized Contact
GREGG MILLER
Authorized Official
717-515-4048
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
COASTAL CONNECTICUT VASCULAR ASC LLC
1152 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824-5271
Phone number: 203-330-0248
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Mailing Address
COASTAL CONNECTICUT VASCULAR ASC LLC
40 VALLEY STREAM PKWY
MALVERN, PA 19355-1407
Phone number: 610-644-8900
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