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Individual

DR. RAPHAEL JOHN CAPASSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
100 HAWLEY LN, TRUMBULL, CT 06611-5330
(203) 378-9462
(203) 378-9462
Mailing address
100 HAWLEY LN, TRUMBULL, CT 06611-5330
(203) 378-9462
(203) 378-9462

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000890
CT
152WC0802X
Corneal and Contact Management Optometrist
000890
CT

Other

Enumeration date
11/13/2006
Last updated
07/30/2012
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