Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Surgical Specialties of Eastern CT LLC

Organization Surgery Physician · NPI 1356411284

Surgical Specialties of Eastern CT LLC provides Surgery Physician services in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

116 E Center St Ste 14
Manchester, CT 06040-5215
Phone: (860) 646-8457
Fax: (860) 646-6388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 020769 (CT)
Surgery Physician Taxonomy 208600000X · Licence 043351 (CT)

Record details

NPI number1356411284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harry Anderson — Md · (860) 646-2457
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address116 E Center St Ste 14, Manchester, CT 06040-5215

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