Provider Demographics
NPI:1043429509
Name:DARIEN SURGICAL ASSOCIATES PC
Entity type:Organization
Organization Name:DARIEN SURGICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HAMILTON HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MD
Authorized Official - Phone:203-656-3325
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820
Mailing Address - Country:US
Mailing Address - Phone:203-656-4466
Mailing Address - Fax:203-656-4467
Practice Address - Street 1:17 OLD KINGS HIGHWAY SOUTH
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820
Practice Address - Country:US
Practice Address - Phone:203-656-4466
Practice Address - Fax:203-656-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty