| NPI | 1689608697 |
|---|---|
| Doing Business As | SHORELINE COLONOSCOPY SUITES |
| Entity Type | Organization |
| Authorized Contact | MAURIZIO DOMENICO NICHELE President 860-395-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-06-28 |