Individual
MRS. ELIZABETH BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
235 QUEEN ST, SOUTHINGTON, CT 06489-1915
(860) 621-2310
(860) 621-2336
Mailing address
235 QUEEN ST, SOUTHINGTON, CT 06489-1915
(860) 621-2310
(860) 621-2336
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001544
CT
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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