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Organization
SHORELINE EYE GROUP PC
Active
Organization
SHORELINE EYE GROUP PC
Active
Other names
Shoreline Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
LIOR HAIM M.D. (PRESIDENT)
(860) 442-5663
Entity
Organization
Contact information
Practice address
741 BROAD STREET EXT, WATERFORD, CT 06385
(860) 442-5663
(860) 444-7778
Mailing address
741 BROAD STREET EXT, WATERFORD, CT 06385-1347
(860) 442-5663
(860) 444-7778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
10/02/2015
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