| |
169 Grove St, Putnam, CT 06260-2115 | |
(860) 963-2020 | |
(860) 928-2040 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 169 Grove St, Putnam, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922279637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 002090 (Connecticut) | Primary |
Mailing Address | Practice Location Address |
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169 Grove St, Putnam, CT 06260-2115 Ph: (860) 963-2020 | 169 Grove St, Putnam, CT 06260-2115 Ph: (860) 963-2020 |
Dr. David B Gaudreau, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 169 Grove St, Putnam, CT 06260 Phone: 860-963-2020 Fax: 860-928-2040 |