Organization
PLESSEN EYE, LLC
Active
Organization
PLESSEN EYE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BIJAN TAWAKOL M.D. (CEO)
(602) 885-3917
Entity
Organization
Contact information
Practice address
9001 ESTATE VISTA CONCORDIA, CHRISTIANSTED, VI 00820-5655
(602) 885-3917
Mailing address
PO BOX 8677, CHRISTIANSTED, VI 00823-8677
(602) 885-3917
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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