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Elizabeth Fague
Optician in Waterford, Connecticut
NPI 1538397419

Elizabeth Fague is a Optician based in Voluntown, CT and is specialized in Optician. Elizabeth Fague practices in Waterford, CT. The NPI Number for Elizabeth Fague is 1538397419 and holds a License No. 001497 (Connecticut).

The current practice location address for Elizabeth Fague is 155 Waterford Parkway N., Waterford, CT and can be reached out via phone at 860-437-3748.

Location: 155 Waterford Parkway N., Waterford, CT, 06384-1813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538397419
Provider Name
Elizabeth Fague
Credential
Provider Entity Type
Individual
Gender
Female
Address
155 Waterford Parkway N., Waterford, CT, 06384-1813
Phone Number
860-437-3748
Fax Number
Provider Enumeration Date
06/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 Waterford Parkway N.
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-437-3748
Fax Number
person
Provider Business Mailing Address Details
Address
155 Waterford Parkway N.
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-437-3748
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
001497 (Connecticut)
Definition
Definition to come...
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