SURGICAL SPECIALISTS PC
Medical Practice at Grandview Ave, Waterbury, CT

License number
Connecticut 024773
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JAYAKARA SHETTY MD
Title: PRESIDENT
Phone: (203) 755-6666
Address
Address
134 Grandview Ave SUITE 209, Waterbury, CT 06708
National Provider ID: 1497874945
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURGICAL SPECIALISTS, PC

Suite 20 SUITE 209, Waterbury, CT 06708

Status:
Inactive
Registration:
Jul 30, 1991
State ID:
0263504
Business type:
Stock
SECRETARYs:
Jayakara Shetty M.d (PRESIDENT), Suite #20, Waterbury, CT 06708 (Mailing)
71 E Farm Rd, Middlebury, CT 06762 (Physical),Sucharita Shetty (SECRETARY), Suite #20, Waterbury, CT 06708 (Mailing)
71 E Farm Rd, Middlebury, CT 06762 (Physical)
Agent:
Jayakara Shetty, M.d,53 Oak Dr, Watertown, CT 06795 (Physical)

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