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Individual

MR. STEVEN M RAPOPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
25 ROPE FERRY RD, WATERFORD, CT 06385-2806
(860) 442-5012
(860) 442-2908
Mailing address
25 ROPE FERRY RD, WATERFORD, CT 06385-2806
(860) 442-5012
(860) 442-2908

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00857
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4024683
CT
Enumeration date
09/22/2006
Last updated
07/08/2007
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