| NPI | 1558748996 |
|---|---|
| Former Legal Business Name | FAIRFIELD COUNTY ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWIN G LEVINE Medical Director 203-268-1193 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0347) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2016-03-21 |