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Organization
RETINA GROUP OF NEW ENGLAND PC
Active
Organization
RETINA GROUP OF NEW ENGLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNI SURAWSKI (PRACTICE ADMIN)
(860) 444-1292
Entity
Organization
Contact information
Practice address
174 CROSS RD, WATERFORD, CT 06385-1215
(860) 444-1292
(860) 444-1827
Mailing address
174 CROSS RD, WATERFORD, CT 06385-1215
(860) 444-1292
(860) 444-1827
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004182789
—
CT
Enumeration date
06/22/2015
Last updated
09/22/2020
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