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Organization
GREENWICH OPHTHALMOLOGY ASSOC
Active
Organization
GREENWICH OPHTHALMOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BIRDSALL (PRACTICE ADMINISTRATOR)
(203) 869-3082
Entity
Organization
Contact information
Practice address
4 DEARFIELD DR, GREENWICH, CT 06831-5351
(203) 869-3082
(203) 869-6453
Mailing address
2046 W MAIN ST STE 2, STAMFORD, CT 06902-4523
(203) 869-3082
(203) 869-6453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8430
RR MEDICARE
—
Enumeration date
08/23/2005
Last updated
03/29/2018
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