Provider Demographics
NPI:1083804231
Name:CONNECTICUT COLON & RECTAL SURGERY, LLC
Entity type:Organization
Organization Name:CONNECTICUT COLON & RECTAL SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CZYRKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-826-3880
Mailing Address - Street 1:40 HART ST STE B2
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1745
Mailing Address - Country:US
Mailing Address - Phone:860-826-3880
Mailing Address - Fax:860-826-3883
Practice Address - Street 1:40 HART ST STE B2
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1745
Practice Address - Country:US
Practice Address - Phone:860-826-3880
Practice Address - Fax:860-826-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty