Organization
DR JILLIAN BRADLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN ANN LOMBARDI OD (MEMBER)
(860) 391-1542
Entity
Organization
Contact information
Practice address
18 PENNSYLVANIA AVE, NIANTIC, CT 06357-3231
(860) 391-1542
(860) 691-0105
Mailing address
18 PENNSYLVANIA AVE, NIANTIC, CT 06357-3231
(860) 391-1542
(869) 691-0105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
04/04/2023
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