Individual
MR. WILLIAM D. FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
131 BOSTON POST RD, SUITE 4, WATERFORD, CT 06385-2839
(860) 442-1167
(860) 443-4118
Mailing address
131 BOSTON POST RD, SUITE4, WATERFORD, CT 06385-2839
(860) 442-1167
(860) 443-4118
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000679
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063571214
—
CT
Enumeration date
06/09/2010
Last updated
06/09/2010
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