| NPI | 1134246853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE IAN LARRISON Partner/Physician 203-787-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 03754) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-09-08 |