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Brian William Grover, O.S.

Technician/Technologist, Optician in Stratford, CT. Individual provider (NPI-1).

NPI number1760616478
StatusActive
Last updated in NPPESJun 11, 2009

Details

NPI
1760616478
Entity type
Individual (NPI-1)
Name
Mr. Brian William Grover
Credential
O.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 8, 2009
Last updated
Jun 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician001123CTYes

Practice location

2505 Main St
Stratford, CT 06615-5839

Phone 203-378-2281 · Fax 203-377-0233

Mailing address

2505 Main St
Stratford, CT 06615-5839

Phone 203-378-2281 · Fax 203-377-0233

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Other Optician providers in Stratford, CT

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