Organization
EYE SURGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LAVIN (OFFICE MANAGER)
(203) 366-8000
Entity
Organization
Contact information
Practice address
1064 EAST MAIN STREET, MERIDEN, CT 06450
(203) 237-1818
(203) 237-1819
Mailing address
PO BOX 321088, FAIRFIELD, CT 06825-6088
(203) 366-8000
(203) 237-1819
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
019681
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001196815
—
CT
Enumeration date
01/13/2009
Last updated
01/13/2009
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