Individual
MERDOCHE EPHRAIM GUSTAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 GOLD STAR HWY, GROTON, CT 06340-3442
(860) 449-0185
Mailing address
150 GOLD STAR HWY, GROTON, CT 06340-3442
(860) 449-0185
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1939
CT
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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