| Shoreline Endoscopy Center, Llc | |
|
800 Boston Post Rd Bldg 1 Guilford CT 06437-2770 | |
| (203) 453-7100 | |
| (203) 453-7810 |
| Full Name | Shoreline Endoscopy Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Boston Post Rd Bldg 1, Guilford, Connecticut |
| Authorized Official Name and Position | Kimberly Claing (EXEC DIRECTOR, CORP BUS SERVICES) |
| Authorized Official Contact | 2036882046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Endoscopy Center, Llc 100 Church St S # Mcs-2 New Haven CT 06519-1703 Ph: (203) 688-2046 | Shoreline Endoscopy Center, Llc 800 Boston Post Rd Bldg 1 Guilford CT 06437-2770 Ph: (203) 453-7100 |
| NPI Number | 1073621579 |
|---|---|
| Provider Enumeration Date | 08/26/2006 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 9133192354 |
|---|---|
| Medicare Enrollment ID | O20040817000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073621579 | NPI | - | NPPES |
| 004247856 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0281 (Connecticut) | Primary |
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