Individual
BRENDAN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3164 BERLIN TPKE, NEWINGTON, CT 06111-4627
(860) 667-8867
Mailing address
3164 BERLIN TPKE, NEWINGTON, CT 06111-4627
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1689
CT
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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