Organization
STEVEN M. RAPOPORT O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK RAPOPORT O.D. (OWNER)
(860) 442-5012
Entity
Organization
Contact information
Practice address
25 ROPE FERRY RD, WATERFORD, CT 06385-2843
(860) 442-5012
Mailing address
25 ROPE FERRY RD, WATERFORD, CT 06385-2843
(860) 442-5012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
857
CT
Other
Enumeration date
12/21/2011
Last updated
01/03/2012
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