Individual
BENJAMIN SALOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
625 SCHOOL ST, PUTNAM, CT 06260-2424
(860) 630-4634
Mailing address
48 WALNUT ST, PUTNAM, CT 06260-1728
(203) 347-6257
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001744
CT
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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