Individual
MR. JOSEPH R BARANOWSKAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1400 FARMINGTON AVE, BRISTOL, CT 06010-4701
(860) 585-1156
(860) 585-1160
Mailing address
1400 FARMINGTON AVE, WALMART VISION CENTER, BRISTOL, CT 06010
(860) 585-1156
(860) 585-1160
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001556
CT
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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