Individual
MR. RUSSELL FRITZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
2313 WHITNEY AVE., SUITE 1D, HAMDEN, CT 06518-3504
(203) 248-8224
(203) 248-8628
Mailing address
2313 WHITNEY AVE., SUITE 1D, HAMDEN, CT 06518-3504
(203) 248-8224
(203) 248-8628
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000687
CT
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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