| NPI | 1396091286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER JOSEPH FORTIER President/ Owner 860-667-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 18165) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |