| NPI | 1578799805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIANA NASTO Assistent Manager 860-635-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001587) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |