Individual
MR. FABRICE BRENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 COLISEUM AVE STE 101, NASHUA, NH 03063-3292
(603) 882-9800
(603) 882-0556
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NH 0704
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30351916
—
NH
05
—
3076155
—
NH
Enumeration date
06/11/2006
Last updated
09/07/2023
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