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Organization
VITREORETINAL SURGEONS LLC
Active
Organization
VITREORETINAL SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT S REPPUCCI M.D. (MEMBER)
(203) 792-6291
Entity
Organization
Contact information
Practice address
1317 3RD AVE, NEW YORK, NY 10021-2995
(203) 792-6191
(203) 744-3669
Mailing address
65 NORTH ST, DANBURY, CT 06810-5640
(203) 792-6191
(203) 744-3669
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289736
—
CT
05
—
01195317
—
NY
Enumeration date
08/06/2007
Last updated
08/29/2024
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