Organization
MARY C. BEAULIEU, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY C BEAULIEU O.D. (OWNER)
(860) 442-5058
Entity
Organization
Contact information
Practice address
125 BOSTON POST RD, WATERFORD, CT 06385-2812
(860) 442-5058
(860) 443-4118
Mailing address
125 BOSTON POST RD, WATERFORD, CT 06385-2812
(860) 442-5058
(860) 443-4118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2212
CT
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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