| NPI | 1780835991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ROSENQUEST Administrator 860-833-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-12-30 |