Individual
PATRICK JOSEPH MORIARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LO.
Contact information
Practice address
59 BRADLEY RD, MADISON, CT 06443-2632
(203) 245-4465
(203) 245-6996
Mailing address
59 BRADLEY RD., MADISON, CT 06443-2632
(203) 245-4465
(203) 245-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001475
CT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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