institution
Richard M Fanelli
Optician in Bloomfield, Connecticut
NPI 1144496621

Richard M Fanelli is a Optician based in Bloomfield, CT and is specialized in Optician. Richard M Fanelli practices in Bloomfield, CT. The NPI Number for Richard M Fanelli is 1144496621 and holds a License No. 05777 (Connecticut).

The current practice location address for Richard M Fanelli is 397 Cottage Grove Rd, Bloomfield, CT and can be reached out via phone at 860-243-8003. You can also correspond with Richard M Fanelli through the mailing address at 397 COTTAGE GROVE RD, BLOOMFIELD, CT - 06002-3119 (mailing address contact number: ).

Location: 397 Cottage Grove Rd, Bloomfield, CT, 06002-3119
institution
Provider Profile Details
NPI Number
1144496621
Provider Name
Richard M Fanelli
Credential
Provider Entity Type
Organization
Address
397 Cottage Grove Rd, Bloomfield, CT, 06002-3119
Phone Number
860-243-8003
Fax Number
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
397 Cottage Grove Rd
City
State
Zip
06002-3119
Phone Number
860-243-8003
Fax Number
person
Provider Business Mailing Address Details
Address
397 Cottage Grove Rd
City
State
Zip
06002-3119
Phone Number
860-243-8003
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
05777 (Connecticut)
Definition
Definition to come...
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