| NPI | 1497876502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA A. CONNERTON Administrator 203-288-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-01-16 |