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Individual

DR. LAURA TIEDEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1375 KINGS HWY STE 301, FAIRFIELD, CT 06824-5396
(203) 366-8000
(203) 330-4598
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
(516) 766-3714

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
323382
NY
207W00000X
Ophthalmology Physician
Primary
75075
CT
207W00000X
Ophthalmology Physician
MD477351
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
323382
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
75075
CT

Other

Enumeration date
03/27/2018
Last updated
07/07/2023
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