Organization
EYE CARE NORTHEAST SURGICAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEAN MD (MEDICAL DIRECTOR)
(860) 928-0414
Entity
Organization
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Mailing address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
05/01/2023
Last updated
08/08/2023
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