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Individual

DR. GEORGE DENNIS ADRIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1041 POQUONNOCK RD, GROTON, CT 06340-4211
(860) 445-1000
(860) 445-3347
Mailing address
1041 POQUONNOCK RD, GROTON, CT 06340-4211
(860) 445-1000
(860) 445-3347

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT1035
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06-1606726
TAX ID
CT
Enumeration date
04/24/2006
Last updated
12/11/2014
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