person
Mr. Edward Beaudette, LO
Optician in Hamden, Connecticut
NPI 1164643797

Edward Beaudette is a Optician based in Hamden, CT and is specialized in Optician. Edward Beaudette practices in Hamden, CT and has the professional credentials of LO. The NPI Number for Edward Beaudette is 1164643797 and holds a License No. 1001 (Connecticut).

The current practice location address for Edward Beaudette is 2301 State St, Hamden, CT and can be reached out via phone at 203-288-4905 and via fax at 203-288-4905.

Location: 2301 State St, Hamden, CT, 06517-3721
person
Provider Profile Details
NPI Number
1164643797
Provider Name
Edward Beaudette
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
2301 State St, Hamden, CT, 06517-3721
Phone Number
203-288-4905
Fax Number
203-288-4905
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CU8360 01 HEALTHNET
100001001CT02 01 ANTHEM
004054029 05 CT
CT1001 01 EYEMED
institution
Provider Business Practice Location Address Details
Address
2301 State St
City
State
Zip
06517-3721
Phone Number
203-288-4905
Fax Number
203-288-4905
person
Provider Business Mailing Address Details
Address
2301 State St
City
State
Zip
06517-3721
Phone Number
203-288-4905
Fax Number
203-288-4905
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1001 (Connecticut)
Definition
Definition to come...
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