Constitution Eye Surgery Center LLC
NPI #1710904537 in Newington, Connecticut
Provider Information
- NPI Number
- 1710904537
- Entity Type
- Organization
- Organization Name
- Constitution Eye Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ophthalmologic Surgery
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 17, 2007
Practice Location
- Address
- 505 WILLARD AVE
- Address 2
- BUILDING 3
- City
- Newington
- State
- Connecticut
- ZIP Code
- 06111-2650
- Phone
- (860) 665-0174
Authorized Official
- Name
- MR. KRIS MINEAU
- Title
- ADMINISTRATOR
- Phone
- (860) 665-0174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ophthalmologic Surgery — Ophthalmologic Surgery |
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