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Individual

DR. JOEL A. GEFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 W MAIN ST, SUITE 100, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 596-4758
Mailing address
1201 W MAIN ST, SUITE 100, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 401-6517

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
033778
CT
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
033778
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180000936
MEDICARE PTAN
CT
Enumeration date
01/23/2006
Last updated
06/26/2024
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