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Mrs. Noreen Dedomenico, OPTICIAN
Optician in New Haven, Connecticut
NPI 1891919585

Noreen Dedomenico is a Optician based in Hamden, CT and is specialized in Optician. Noreen Dedomenico practices in New Haven, CT and has the professional credentials of OPTICIAN. The NPI Number for Noreen Dedomenico is 1891919585 and holds a License No. LO702 (Connecticut).

The current practice location address for Noreen Dedomenico is 904 Whalley Ave, New Haven, CT and can be reached out via phone at 203-397-1928.

Location: 904 Whalley Ave, New Haven, CT, 06514-3238
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Provider Profile Details
NPI Number
1891919585
Provider Name
Noreen Dedomenico
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
904 Whalley Ave, New Haven, CT, 06514-3238
Phone Number
203-397-1928
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0521380001 01 CT MEDICARE
100000702CT01 01 CT BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
904 Whalley Ave
City
State
Zip
06515-1700
Phone Number
203-397-1928
Fax Number
person
Provider Business Mailing Address Details
Address
904 Whalley Ave
City
State
Zip
06515-1700
Phone Number
203-397-1928
Fax Number
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Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LO702 (Connecticut)
Definition
Definition to come...
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