Individual
DR. MATTHEW BLONDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
379 PROSPECT STREET, SUITE B, TORRINGTON, CT 06790-0448
(860) 489-2781
(860) 489-9017
Mailing address
PO BOX 448, 379 PROSPECT STREET SUITE B, TORRINGTON, CT 06790-0448
(860) 489-2781
(860) 489-9017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000845
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024592
—
CT
Enumeration date
03/03/2006
Last updated
07/08/2007
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