Organization
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND THADDEUS SUSKI M.D. (PRESIDENT)
(860) 247-2169
Entity
Organization
Contact information
Practice address
19 WOODLAND ST, SUITE 44, HARTFORD, CT 06105-2372
(860) 247-2169
Mailing address
19 WOODLAND ST, SUITE 44, HARTFORD, CT 06105-2372
(860) 247-2169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22090
CT
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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