CONSTITUTION SURGERY CENTER EAST LLC
Ambulatory Health at Cross Rd, Waterford, CT

License number
Connecticut 0272
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. KRIS MINEAU
Title: ADMINISTRATOR
Phone: (860) 667-1815
Address
Address 2
174 Cross Rd, Waterford, CT 06385
100 Avon Meadow Ln, Avon, CT 06001
National Provider ID: 1588681373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CONSTITUTION SURGERY CENTER EAST, LLC

174 Cross Rd, Waterford, CT 06385

Registration:
Dec 22, 1999
State ID:
0638299
Business type:
Domestic Limited Liability Company
ADMINISTRATOR:
Kristian M. Mineau (ADMINISTRATOR), 505 Willard Ave, Newington, CT 06111 (Mailing)
47 Highridge Rd, West Simsbury, CT 06092 (Physical)
Agent:
Reid And Riege, Pc,1 Financial Plz, Hartford, CT 06103 (Mailing)

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