| Organization Name: | CONNECTICUT GI ENDOSCOPY CENTER LLC |
| NPI Number: | 1063593952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH A CAPPA (MEDICAL DIRECTOR) |
| Mailing Address: | 4 Northwestern Drive Bloomfield |
| State: | CT US |
| Postal Code: | 060023444 |
| Phone Number: | 8602420079 |
| Fax Number: | 8602422389 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |