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

Evergreen Endoscopy Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1093974602

Evergreen Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in South Windsor, Connecticut. Registered with an NPI since 2008.

In the registry since
2008
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

2400 Tamarack Ave Ste 100
South Windsor, CT 06074
Phone: (860) 644-7336
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Endoscopy Clinic/Center Taxonomy 261QE0800X

Record details

NPI number1093974602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Wollman — Executive Director · (860) 533-2123
NPI enumeratedJune 9, 2008
Last updated in NPPESNovember 15, 2017
Mailing address2400 Tamarack Avenue, Suite 100, South Windsor, CT 06074