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Organization
EYE MD OF PLAINFIELD LLC
Active
Organization
EYE MD OF PLAINFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSEY TARABISHY MD (OWNER, LLC MEMBER)
(860) 564-4555
Entity
Organization
Contact information
Practice address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-4555
(860) 564-4611
Mailing address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-4555
(860) 564-4611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026332
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026332CT02
ANTHEM BCBS
CT
05
—
01263326
—
CT
01
—
OV5491
HEALTHNET
CT
Enumeration date
11/14/2008
Last updated
09/02/2009
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