| NPI | 1134692924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHSA AVA SOHRAB Physician Owner 203-340-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2021-03-18 |