Organization
RETINA GROUP OF NEW ENGLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNI SURAWSKI (PRACTICE ADMIN)
(860) 444-1292
Entity
Organization
Contact information
Practice address
174 CROSS RD, WATERFORD, CT 06385-1215
(860) 444-1292
(860) 444-1827
Mailing address
174 CROSS RD, WATERFORD, CT 06385-1215
(860) 444-1292
(860) 444-1827
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004182789
—
CT
Enumeration date
06/22/2015
Last updated
09/22/2020
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