Organization
GREATER WATERBURY RETINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL JASON ZIMMERMAN M.D. (PRESIDENT)
(203) 758-5733
Entity
Organization
Contact information
Practice address
166 WATERBURY RD, SUITE 201, PROSPECT, CT 06712-1200
(203) 758-5733
(203) 758-7400
Mailing address
166 WATERBURY RD, SUITE 201, PROSPECT, CT 06712-1200
(203) 758-5733
(203) 758-7400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
06/19/2013
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