Greater Waterbury Retina, LLC

NPI #1164516068 in Prospect, Connecticut

Provider Information

NPI Number: 1164516068
Entity Type: Organization
Organization Name: Greater Waterbury Retina, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 3, 2006
Last Updated: Jun 19, 2013

Practice Location

Address: 166 WATERBURY RD
Address 2: SUITE 201
City: Prospect
State: Connecticut
ZIP Code: 06712-1200
Phone: (203) 758-5733

Authorized Official

Name: NEAL JASON ZIMMERMAN, M.D.
Title: PRESIDENT
Phone: (203) 758-5733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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