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Individual

RICHARD J MORIARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.O.

Contact information

Practice address
552 NEW HAVEN AVE, DERBY, CT 06418-2538
(203) 734-3309
(203) 735-4431
Mailing address
552 NEW HAVEN AVE, DERBY, CT 06418-2538
(203) 734-3309
(203) 735-4431

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L.O. 610
CT

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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