Individual
MR. JOHN GEORGE BALDELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1201 WEST MAIN STREET, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 597-1696
Mailing address
1201 WEST MAIN STREET, WATERBURY, CT 06708-3105
(203) 597-9100
(203) 597-1696
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001738
CT
156FX1800X
Optician
5969
MA
156FX1800X
Optician
C005696-1
NY
Other
Enumeration date
02/21/2024
Last updated
02/28/2024
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