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Mr. Michael A Bosson, LO
Optician in Litchfield, Connecticut
NPI 1750459301

Michael A Bosson is a Optician based in Litchfield, CT and is specialized in Optician. Michael A Bosson practices in Litchfield, CT and has the professional credentials of LO. The NPI Number for Michael A Bosson is 1750459301 and holds a License No. 737 (Connecticut).

The current practice location address for Michael A Bosson is 33 Village Green Dr, Litchfield, CT and can be reached out via phone at 860-567-4565.

Location: 33 Village Green Dr, Litchfield, CT, 06759-3419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750459301
Provider Name
Michael A Bosson
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
33 Village Green Dr, Litchfield, CT, 06759-3419
Phone Number
860-567-4565
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100000737CT01 01 CT ANTHEM BLUE CROSS BLUE SH
institution
Provider Business Practice Location Address Details
Address
33 Village Green Dr
City
Litchfield
State
Connecticut
Zip
06759
Phone Number
860-567-4565
Fax Number
person
Provider Business Mailing Address Details
Address
33 Village Green Dr
City
Litchfield
State
Connecticut
Zip
06759
Phone Number
860-567-4565
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
737 (Connecticut)
Definition
Definition to come...
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