Organization · Type 2 NPI
Evergreen Endoscopy Center, LLC
Ambulatory Surgical Clinic/Center · South Windsor, CT
NPI number
1093974602
Active
Practice location
2400 Tamarack Avenue, Suite 100
South Windsor, CT 06074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
| Endoscopy Clinic/Center | 261QE0800X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1093974602
Evergreen Endoscopy Center, LLC's National Provider Identifier is 1093974602, issued on Jun 9, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in South Windsor, CT. The record was last updated on Nov 15, 2017.