Individual
MR. JEFFREY M FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. OPTICIAN
Contact information
Practice address
506 MAIN ST, MIDDLETOWN, CT 06457-2810
(860) 347-4443
(860) 347-4443
Mailing address
506 MAIN ST, MIDDLETOWN, CT 06457-2810
(860) 347-4443
(860) 347-4443
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001105
CT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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