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Connecticut Eye Physicians And Surgeons LLC

Ophthalmology in South Windsor, CT. Organization (NPI-2).

NPI number1760675409
StatusActive
Last updated in NPPESNov 25, 2024

Details

NPI
1760675409
Entity type
Organization (NPI-2)
Legal business name
Connecticut Eye Physicians And Surgeons LLC
Organization subpart
No
Enumeration date
Aug 27, 2007
Certification date
Nov 25, 2024
Last updated
Nov 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology035387CTYes

Practice location

479 Buckland Rd
South Windsor, CT 06074-3739

Phone 860-644-5011 · Fax 860-644-4833

Mailing address

479 Buckland Rd Ste A
South Windsor, CT 06074-3739

Phone 860-644-5011 · Fax 860-644-4833

Authorized official

Richard J Manganiello
Owner;/Provider
8606445011

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