Organization
COASTAL EYE SURGERY CENTER, LLC
Active
Organization
COASTAL EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PIAZZA MD (MEDICAL DIRECTOR)
(207) 667-6300
Entity
Organization
Contact information
Practice address
128 BUCKSPORT RD, SUITE A, ELLSWORTH, ME 04605-2239
(207) 667-7730
(207) 667-9523
Mailing address
PO BOX 1539, BLUE HILL, ME 04614-1539
(207) 667-6300
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2008
Last updated
11/18/2010
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