Organization
HARTFORD EYE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L DOLIN MD (PRESIDENT)
(860) 633-6634
Entity
Organization
Contact information
Practice address
55 NYE RD, SUITE 104, GLASTONBURY, CT 06033-1281
(860) 633-6634
(860) 652-3291
Mailing address
55 NYE RD, SUITE 104, GLASTONBURY, CT 06033-1281
(860) 633-6634
(860) 652-3291
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001640
—
CT
01
—
0351860002
MEDICARE DURABLE MEDICAL EQUIPMENT PROVIDER NUMBER
—
Enumeration date
03/17/2006
Last updated
01/30/2013
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