person
Timothy A Fava, OPTICIAN
Optician in Brooklyn, Connecticut
NPI 1508226762

Timothy A Fava is a Optician based in Brooklyn, CT and is specialized in Optician. Timothy A Fava practices in Brooklyn, CT and has the professional credentials of OPTICIAN. The NPI Number for Timothy A Fava is 1508226762 and holds a License No. 1629 (Connecticut).

The current practice location address for Timothy A Fava is 450 Providence Rd, Brooklyn, CT and can be reached out via phone at 860-412-5141 and via fax at 860-774-1656.

Location: 450 Providence Rd, Brooklyn, CT, 06234-1823
person
Provider Profile Details
NPI Number
1508226762
Provider Name
Timothy A Fava
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
450 Providence Rd, Brooklyn, CT, 06234-1823
Phone Number
860-412-5141
Fax Number
860-774-1656
Provider Enumeration Date
03/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 Providence Rd
City
State
Zip
06234-1823
Phone Number
860-412-5141
Fax Number
860-774-1656
person
Provider Business Mailing Address Details
Address
450 Providence Rd
City
State
Zip
06234-1823
Phone Number
860-412-5141
Fax Number
860-774-1656
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1629 (Connecticut)
Definition
Definition to come...
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