Organization
KENNETH E. PLOURD
Active
Other names
Glastonbury Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EDWARD PLOURD (OWNER)
(860) 633-7889
Entity
Organization
Contact information
Practice address
2377 MAIN ST., GLASTONBURY, CT 06033
(860) 633-7889
Mailing address
2377 MAIN ST., GLASTONBURY, CT 06033
(860) 633-7889
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001489
CT
Other
Enumeration date
05/03/2007
Last updated
06/17/2008
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