| NPI | 1891331534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M. GALLOUSIS Owner/Md 203-359-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-22 |