Individual
MR. RONALD HAAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
24 PENNSYLVANIA AVE, NIANTIC, CT 06357-3231
(203) 500-9713
Mailing address
14 FULMORE DR, WATERFORD, CT 06385-1504
(203) 500-9713
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001759
CT
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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