Organization Name: | SURGERY AND SPA SERVICES LLC |
NPI Number: | 1346609906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN FREDERICK SCHMIDT (OWNER) |
Mailing Address: | 330 Orchard Street Suite 211 New Haven |
State: | CT US |
Postal Code: | 065114429 |
Phone Number: | 2035627689 |
Fax Number: | 2037770759 |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |