Retina Group Of New England Pc

LBN: Retina Group Of New England Pc
Retina Group Of New England Pc is an health care organization with primary practice located at 174 Cross Rd , Waterford CT 06385-1215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Retina Group Of New England Pc can be contacted via phone (860) 444-1292, or through Surawski, Sunni via phone (860) 444-1292.

Contact Information

Primary practice address
174 Cross Rd Waterford CT 06385-1215
Phone: (860) 444-1292
Fax: (860) 444-1827
Website:
Map and Directions
Authorized official contact:
Name: Surawski, Sunni
Phone: (860) 444-1292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1316329733
LBN Legal business name Retina Group Of New England Pc
DBA Doing business as
Authorized official Surawski, Sunni
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2015
Last updated Sep 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316329733 NPPES
Connecticut MEDICAID 004182789

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