Individual
JOHN WOODCOCK, JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 SALEM TPKE, NORWICH, CT 06360-6455
(860) 887-6696
(860) 887-7850
Mailing address
220 SALEM TPKE, NORWICH, CT 06360-6455
(860) 887-6696
(860) 887-7850
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000724
CT
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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