Individual
PAVEL KRUBITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 FARMINGTON AVE, SUITE 121, WEST HARTFORD, CT 06119-1505
(860) 233-2346
(860) 236-3607
Mailing address
836 FARMINGTON AVE, SUITE 121, WEST HARTFORD, CT 06119-1505
(860) 233-2346
(860) 236-3607
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001543
CT
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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