Fedora Optical Inc

NPI 1750507380 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1750507380
Enumeration Date 04/18/2007
Last Updated 03/27/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER J. PETER
Position PRESIDENT
Phone (860) 646-3577
Fax (860) 643-9733
Practice Location
236 N MAIN ST
MANCHESTER CT, 06042-2004, US
Phone (860) 646-3577
Fax (860) 643-9733
Business Location
236 N MAIN ST
MANCHESTER CT, 06042-2004, US
Phone (860) 646-3577
Fax (860) 643-9733
Toxanomy
Taxonomy Code 156FX1800X
License State Connecticut
License Number 001359
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According to our database, Fedora Optical Inc NPI is 1750507380, taxonomy code is 156FX1800X and license number is 001359, license state is located at Connecticut. Fedora Optical Inc physically located at 236 N Main St, Manchester CT, 06042-2004. NPI Number 1033115704 has the healthcare provider type.

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1750507380 NPI number is provided on an as is basis without warranty of any kind. 1750507380 is maintained by the National Plan & Provider Enumeration System. The contents of Fedora Optical Inc are for informational purposes only.