Individual
PHYLLIS A LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
264 AMITY RD STE 212, WOODBRIDGE, CT 06525-2200
(203) 387-0038
(203) 387-0510
Mailing address
264 AMITY RD STE 212, WOODBRIDGE, CT 06525-2200
(203) 387-0038
(203) 387-0510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002161
CT
Other
Enumeration date
10/17/2006
Last updated
07/09/2007
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