Organization
EYE MD OF PLAINFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSEY TARABISHY MD (OWNER, LLC MEMBER)
(860) 564-4555
Entity
Organization
Contact information
Practice address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-4555
(860) 564-4611
Mailing address
50 ACADEMY HILL RD, PLAINFIELD, CT 06374-1600
(860) 564-4555
(860) 564-4611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026332
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026332CT02
ANTHEM BCBS
CT
05
—
01263326
—
CT
01
—
OV5491
HEALTHNET
CT
Enumeration date
11/14/2008
Last updated
09/02/2009
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