Organization
MIDDLESEX EYE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER D LUSKIND M.D. (PRESIDENT)
(860) 347-7466
Entity
Organization
Contact information
Practice address
400 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4773
(860) 347-7466
(860) 347-2619
Mailing address
400 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4773
(860) 347-7466
(860) 347-2619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001632
—
CT
01
—
CL1733
RAILROAD MEDICARE
—
Enumeration date
11/07/2005
Last updated
08/08/2013
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