COASTAL DIGESTIVE CARE CENTER LLC

NEW LONDON, CT
NPI1811929300
Entity TypeOrganization
Authorized ContactJOHN FRESE
Medical Director
860-442-0290
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: CT  0303)
Additional Taxonomies261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2006-07-07
Last Update Date2009-05-07
Business Address
COASTAL DIGESTIVE CARE CENTER LLC
234A BANK ST 4TH FLOOR
NEW LONDON, CT 06320
Phone number: 860-447-0402
Mailing Address
COASTAL DIGESTIVE CARE CENTER LLC
234A BANK ST 4TH FLOOR
NEW LONDON, CT 06320
Phone number: 860-447-0402