| |
11 Mountain Ave, Ste 308, Bloomfield, CT 06002-2343 | |
(860) 943-1997 | |
(860) 943-1990 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 11 Mountain Ave, Bloomfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275781429 | NPI | - | NPPES |
1020508 | Medicaid | AK |
Provider Name | Alexander Chi-shun Tsang |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861464323 PECOS PAC ID: 4981706462 Enrollment ID: I20180809004238 |
Mailing Address | Practice Location Address |
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84 Timberwood Rd, West Hartford, CT 06117-1466 Ph: (860) 943-1997 | 11 Mountain Ave, Ste 308, Bloomfield, CT 06002-2343 Ph: (860) 943-1997 |