BLOOMFIELD ASC LLC (Credential# 1330586) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BLOOMFIELD ASC LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062022. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 580 Cottage Grove Rd Ste 211, Bloomfield, CT 06002-3088. The current status is active.
| Licensee Name | BLOOMFIELD ASC LLC |
| Business Name | BLOOMFIELD ASC LLC |
| Doing Business As | MARC LEDERMAN |
| Credential ID | 1330586 |
| Credential Number | CSP.0062022 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
580 Cottage Grove Rd Ste 211 Bloomfield CT 06002-3088 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| Street Address | 580 COTTAGE GROVE RD STE 211 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3088 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bloomfield Asc, LLC | 580 Cottage Grove Rd Ste 211, Bloomfield, CT 06002-3088 | Out-patient Surgical Facility | 2019-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irina A Muni | 580 Cottage Grove Rd Ste 107, Bloomfield, CT 06002-3088 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Raul Mendelovici | 580 Cottage Grove Rd Ste 205, Bloomfield, CT 06002-3088 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amal Das | 580 Cottage Grove Rd Ste 104, Bloomfield, CT 06002-3088 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Patrick R Felice | 580 Cottage Grove Rd Ste 103, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rafael Gonzalez-perez Dpm | 580 Cottage Grove Rd Ste 203, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald S Szabo | 580 Cottage Grove Rd, Bloomfield, CT 06002-3088 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert H Safer | 580 Cottage Grove Rd, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sheila R Silverman | 580 Cottage Grove Rd, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary P Cohen Md | 580 Cottage Grove Rd Ste 107, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edwin J Fierer Md | 580 Cottage Grove Rd Ste 107, Bloomfield, CT 06002-3088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06002-3088 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jon Packard Hedgecock | 700 Bloomfield Ave Apt 222, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Szulawski | 700 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-06-03 ~ 2021-02-28 |
| Palak D Patel | 700 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ramy Zughul | 700 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amarpreet S Sanghera | 700 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-19 ~ 2021-02-28 |
| Carolyn Ganeles Md | 705 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2480 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenise Kwak | 700 Bloomfield Ave Apt 302, Bloomfield, CT 06002-2459 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip T Goldenberg Md | 705 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2004-03-03 ~ 2005-02-28 |
| Brian J Donahue | 561 Bloomfield Ave, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Ann M. Hill | 685 Bloomfield Ave, Bloomfield, CT 06002-2404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).