Individual
MARK FRANCIS DI LORETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
359 MAIN ST, KENSINGTON, CT 06037-2651
(860) 829-1020
(860) 828-5246
Mailing address
359 MAIN ST, KENSINGTON, CT 06037-2651
(860) 829-1020
(860) 828-5246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002773
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035812
—
CT
Enumeration date
07/31/2009
Last updated
09/13/2022
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