Individual
MR. NEAL JOHNSON WETMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O
Contact information
Practice address
33 WELLES ST, GLASTONBURY, CT 06033-2047
(860) 633-1401
(860) 633-1401
Mailing address
33 WELLES ST, GLASTONBURY, CT 06033-2047
(860) 633-1401
(860) 633-1401
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1047
CT
Other
Enumeration date
01/18/2007
Last updated
11/30/2007
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