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Organization

NORTHEAST OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGEONS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARISSA HABIB MD (PHYSICIAN)
(203) 424-0228
Entity
Organization

Contact information

Practice address
1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3515
(203) 424-0228
Mailing address
1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3515
(203) 424-0228

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008089624
CT
Enumeration date
10/29/2021
Last updated
05/22/2024
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