Greater Hartford Ophthalmology LLC

NPI #1780868992 in Bloomfield, Connecticut

Provider Information

NPI Number: 1780868992
Entity Type: Organization
Organization Name: Greater Hartford Ophthalmology LLC
Primary Specialty: Ophthalmology
Enumeration Date: Dec 24, 2007
Last Updated: Jan 4, 2010

Practice Location

Address: 701 COTTAGE GROVE RD
Address 2: B210
City: Bloomfield
State: Connecticut
ZIP Code: 06002-3080
Phone: (860) 242-9090

Authorized Official

Name: DR. PRASAD PANTHAGANI, MD
Title: MEMBER
Phone: (860) 242-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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