Individual
CHRISTOPHER CANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
2385 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 372-7533
(203) 372-6614
Mailing address
2385 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 372-7533
(203) 372-6614
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1009
CT
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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