Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Connecticut Vascular ASC LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417780172

Coastal Connecticut Vascular ASC LLC is an Ambulatory Surgical Clinic/Center in Fairfield, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
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

1152 Kings Highway Cutoff Ste 102
Fairfield, CT 06824-5273
Phone: (203) 330-0248
Fax: (203) 330-9730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1417780172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregg Miller — Authorized Official · (717) 515-4048
Other names Azura Surgery Center Connecticut
NPI enumeratedAugust 20, 2024
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing addressPo Box 411955, Boston, MA 02241-1955

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