Individual
DR. ROSS EDWARD ZELDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1268 MAIN ST, STE 104, NEWINGTON, CT 06111
(860) 666-5431
(860) 666-5433
Mailing address
1268 MAIN ST, STE 104, NEWINGTON, CT 06111
(860) 666-5431
(860) 666-5433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002162
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002162CT07
BLUE CROSS
CT
05
—
4075313
—
CT
01
—
4232995
AETNA
CT
Enumeration date
08/11/2006
Last updated
07/22/2010
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