Individual
DR. SIDET SOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1482 POST RD, FAIRFIELD, CT 06824-5911
(203) 254-0055
(203) 256-1284
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002732
CT
Other
Enumeration date
12/19/2007
Last updated
03/17/2022
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