Provider Demographics
NPI:1033598404
Name:BRANDSDORFER, ARI M (MD)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:M
Last Name:BRANDSDORFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:CONSULTING OPHTHALMOLOGISTS PC
Mailing Address - Street 2:499 FARMINGTON AVENUE STE. 100
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1933
Mailing Address - Country:US
Mailing Address - Phone:860-678-0202
Mailing Address - Fax:860-678-0277
Practice Address - Street 1:CONSULTING OPHTHALMOLOGISTS PC
Practice Address - Street 2:499 FARMINGTON AVENUE STE. 100
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1933
Practice Address - Country:US
Practice Address - Phone:860-678-0202
Practice Address - Fax:860-678-0277
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2021-04-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301118999207W00000X
CT64822207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1033598404Medicaid