Organization
CONNECTICUT EYE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
60 WELLINGTON RD, MILFORD, CT 06461-1677
(203) 878-2010
(203) 877-2119
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
07/27/2016
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