Organization
EYE SURGERY ASSOCIATES OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M DEBROFF MD (OWNER)
(203) 375-5819
Entity
Organization
Contact information
Practice address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819
Mailing address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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