| |
2880 Old Dixwell Ave, Hamden, CT 06518-3144 | |
(203) 248-6365 | |
(203) 281-2742 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2880 Old Dixwell Ave, Hamden, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528029634 | NPI | - | NPPES |
004067435 | Medicaid | CT | |
0674910001 | Other | CT | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2880 Old Dixwell Avenue, Hamden, CT 06518 Ph: (203) 248-6365 | 2880 Old Dixwell Ave, Hamden, CT 06518-3144 Ph: (203) 248-6365 |