Individual
MR. MATTHEW ALAN MARCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
192 BROAD ST, WINDSOR, CT 06095
(860) 688-3876
(860) 688-3876
Mailing address
63 STAGE COACH RD, WINDSOR, CT 06095
(860) 688-9429
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001266
CT
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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