DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE LLC (Credential# 1670329) is licensed (Out-patient Surgical Facility) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2019. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #ASC.0000364. The credential type is out-patient surgical facility. The effective date is June 20, 2019. The expiration date is March 31, 2021. The business address is 687 Main Street, Branford, CT 06405. The current status is active.
Licensee Name | DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE LLC |
Business Name | DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE LLC |
Doing Business As | DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE LLC |
Credential ID | 1670329 |
Credential Number | ASC.0000364 |
Credential Type | Out-Patient Surgical Facility |
Business Address |
687 Main Street Branford CT 06405 |
Business Type | LIMITED LIABILITY COMPANY |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-20 |
Effective Date | 2019-06-20 |
Expiration Date | 2021-03-31 |
Refresh Date | 2019-06-20 |
Street Address | 687 MAIN STREET |
City | BRANFORD |
State | CT |
Zip Code | 06405 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keri A Herzog | 687 Main Street, Branford, CT 06405-3828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christopher D Illick Md | 687 Main Street, Branford, CT 06405-3828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michelle Plyler | 687 Main Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Howard Simon | 687 Main Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Out-Patient Surgical Facility |
License Type + County | Out-Patient Surgical Facility + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Digestive Disease Associates Endoscopy Suite, LLC | 687 Main St, Branford, CT 06405-3612 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
Wallingford Endoscopy Center, LLC | 863 North Main Street Extension, Suite 300, Wallingford, CT 06492 | Out-patient Surgical Facility | 2018-10-11 ~ 2020-09-30 |
Diagnostic Endoscopy LLC · Diagnostic Endoscopy Center | 778 Long Ridge Rd, Stamford, CT 06902-1265 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
Ct Gi Endoscopy Center LLC · Ct Gi Endoscopy Center, LLC | 4 Northwestern Dr, Bloomfield, CT 06002-3444 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
Shoreline Endoscopy Center, LLC | 800 Boston Post Rd Bldg 1, Guilford, CT 06437-2747 | Out-patient Surgical Facility | 2018-09-20 ~ 2020-06-30 |
Endoscopy Center of Connecticut LLC · Endoscopy Center of Connecticut, LLC | 1591 Boston Post Rd, Guilford, CT 06437-4335 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
Evergreen Endoscopy Center LLC · Evergreen Endoscopy Center, LLC | 2400 Tamarack Ave Ste 100, South Windsor, CT 06074-5556 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
Endoscopy Center of Connecticut LLC · Endoscopy Center of Connecticut, LLC | 2200 Whitney Ave, Hamden, CT 06518-3691 | Out-patient Surgical Facility | 2020-01-01 ~ 2021-12-31 |
Coastal Digestive Care Center LLC · Coastal Digestive Care Center, LLC | 234a Bank St, New London, CT 06320-6073 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
Saint Francis Gi Endoscopy LLC · Saint Francis Gi Endoscopy, LLC | 360 Bloomfield Ave Ste 204, Windsor, CT 06095-2700 | Out-patient Surgical Facility | 2018-10-01 ~ 2020-09-30 |
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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).