Organization
CONNECTICUT EYE SURGERY CENTER SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
60 WELLINGTON RD, MILFORD, CT 06461-1677
(203) 878-2010
(203) 877-2119
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242773
—
CT
Enumeration date
07/19/2006
Last updated
08/09/2022
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