Individual
MR. PAUL ROBERT BECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
60 CHURCH ST, RT68, WALLINGFORD, CT 06492-2340
(203) 265-2205
Mailing address
60 CHURCH ST, RT68, WALLINGFORD, CT 06492-2340
(203) 265-2205
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
CT1278
CT
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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