Individual
MR. MICHAEL THOMAS CRISCUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
465 BRIDGEPORT AVE, SHELTON, CT 06484-4751
(203) 926-1189
Mailing address
362 SUMMERFIELD GDNS, SHELTON, CT 06484-6306
(203) 213-4511
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1504
CT
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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