Individual
NGUYEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
262 BROCKETT ST, NEWINGTON, CT 06111
(860) 667-2020
(860) 667-0770
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3136
CT
Other
Enumeration date
11/08/2019
Last updated
04/07/2022
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