NPI | 1467560524 |
---|---|
Entity Type | Organization |
Authorized Contact | JERI LOGUN Vice President 203-259-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001234) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-12-18 |