SURGICAL ASSOCIATES OF WINDHAM PC
Medical Practice at Quarry St, Chestnut Hill, CT

License number
Connecticut 026454
Category
Medical Practice
Type
Specialist
Owner
Name: FRANCIS SIRACUSA MD
Title: PRESIDENT
Phone: (860) 450-7222
Address
Address
90 Quarry St, Chestnut Hill, CT 06226
National Provider ID: 1700946068
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGICAL ASSOCIATES OF WINDHAM, PC

62 Mansfield Ave, Willimantic, CT 06226

Status:
Inactive
Registration:
Dec 30, 1970
State ID:
0017996
Business type:
Stock
SECRETARYs:
Md Francis Siracusa (PRESIDENT), 62 Mansfield Ave, Willimantic, CT 06226 (Mailing)
66 Fieldstone Dr, Storrs Mansfield, CT 06268 (Physical),Karen Siracusa (SECRETARY), 62 Mansfield Ave, Willimantic, CT 06226 (Mailing)
66 Fieldstone Dr, Storrs Mansfield, CT 06268 (Physical)
Agent:
Frank L Bird,90 Quarry St, Willimantic, CT 06226 (Mailing)
Gager Hl Rd, Scotland, CT 06264 (Physical)

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