Conrad W. Kasack, Inc

NPI 1023168325 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1023168325
Enumeration Date 01/11/2007
Last Updated 03/20/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOMINICK CHARLES DOMINICK
Position PRESIDENT OPTICIAN
Phone (203) 743-3826
Fax
Practice Location
16 WEST ST
DANBURY CT, 06810-7841, US
Phone (203) 743-3826
Fax
Business Location
16 WEST ST
DANBURY CT, 06810-7841, US
Phone (203) 743-3826
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State Connecticut
License Number 001268
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According to our database, Conrad W. Kasack, Inc NPI is 1023168325, taxonomy code is 156FX1800X and license number is 001268, license state is located at Connecticut. Conrad W. Kasack, Inc physically located at 16 West St, Danbury CT, 06810-7841. NPI Number 1033115704 has the healthcare provider type.

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1023168325 NPI number is provided on an as is basis without warranty of any kind. 1023168325 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad W. Kasack, Inc are for informational purposes only.