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Individual

DR. THOMAS J PRIGNANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
893 MAIN ST, SUITE 201, EAST HARTFORD, CT 06108-2292
(860) 528-5816
(860) 290-5356
Mailing address
893 MAIN ST, SUITE 201, EAST HARTFORD, CT 06108-2292
(860) 528-5816
(860) 290-5356

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2166
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004209905
CT
01
061313539
CT TAX ID
CT
Enumeration date
01/28/2006
Last updated
02/08/2008
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