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Organization
EYE CENTER OF SOUTHERN CONNECTICUT PC
Active
Organization
EYE CENTER OF SOUTHERN CONNECTICUT PC
Active
Other names
Eye Center A Medical Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E MASI M.D. (PRESIDENT)
(203) 248-6365
Entity
Organization
Contact information
Practice address
2880 OLD DIXWELL AVE, HAMDEN, CT 06518-3144
(203) 248-6365
(203) 281-2742
Mailing address
2880 OLD DIXWELL AVENUE, HAMDEN, CT 06518
(203) 248-6365
(203) 281-2742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004067435
—
CT
01
—
0674910001
PTAN
CT
Enumeration date
03/29/2006
Last updated
10/05/2018
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