Jeffrey M Fine LIC. OPTICIAN

NPI 1356460885 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1356460885
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
506 MAIN ST
MIDDLETOWN CT, 06457-2810, US
Phone (860) 347-4443
Fax (860) 347-4443
Business Location
506 MAIN ST
MIDDLETOWN CT, 06457-2810, US
Phone (860) 347-4443
Fax (860) 347-4443
Toxanomy
Taxonomy Code 156FX1800X
License State Connecticut
License Number 001105
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According to our database, Mr. Jeffrey M Fine LIC. OPTICIAN NPI is 1356460885, taxonomy code is 156FX1800X and license number is 001105, license state is located at Connecticut. Jeffrey M Fine LIC. OPTICIAN physically located at 506 Main St, Middletown CT, 06457-2810. NPI Number Jeffrey M Fine LIC. OPTICIAN has the Individual type.

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1356460885 NPI number is provided on an as is basis without warranty of any kind. 1356460885 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey M Fine LIC. OPTICIAN are for informational purposes only.