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Surgical Center of Connecticut LLC

Ambulatory Surgical Clinic/Center in Bridgeport, CT · enumerated 2006 · authorized official Charles Wallace, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023113701

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Registry record

Entity type Organization (Type 2)
Legal business name Surgical Center of Connecticut LLC
Practice address 4920 Main St, Bridgeport, CT, 06606
Phone (203) 371-2986
Fax (203) 371-2987
Enumeration date Sep 14, 2006
Last updated in NPPES Jul 28, 2015

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Charles Wallace
Title Administrator
Phone (203) 371-2986

Other identifiers

Identifier Type State Issuer
004248862 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-28. Verify at npiregistry.cms.hhs.gov.
Where is Surgical Center of Connecticut LLC located?
The practice location on file with NPPES is in Bridgeport, CT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-28.