Organization
SUSAN C DANBERG OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C DANBERG OD (OWNER)
(860) 657-9189
Entity
Organization
Contact information
Practice address
212 NEW LONDON TPKE, GLASTONBURY, CT 06033-4202
(860) 657-9189
Mailing address
212 NEW LONDON TPKE, GLASTONBURY, CT 06033-4202
(860) 657-9189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1078
CT
152WV0400X
Vision Therapy Optometrist
1078
CT
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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