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Mary Christine Beaulieu, OD

Optometrist in Waterford, CT. Individual provider (NPI-1).

NPI number1528126117
StatusActive
Last updated in NPPESAug 26, 2009

Details

NPI
1528126117
Entity type
Individual (NPI-1)
Name
Mrs. Mary Christine Beaulieu
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Aug 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2212CTYes

Practice location

131 Boston Post Rd
Suite 4
Waterford, CT 06385-2839

Phone 860-442-5058 · Fax 860-443-4118

Mailing address

131 Boston Post Rd
Suite 4
Waterford, CT 06385-2839

Phone 860-442-5058 · Fax 860-443-4118

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