Organization
RATCHFORD EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GINA RATCHFORD M.D. (MEMBER)
(860) 829-8939
Entity
Organization
Contact information
Practice address
1166 FARMINGTON AVENUE, BERLIN, CT 06037-2302
(860) 829-8939
(860) 829-8938
Mailing address
1166 FARMINGTON AVENUE, BERLIN, CT 06037
(860) 829-8939
(860) 829-8938
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001722
CT
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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