Individual
MR. DMITRY ROYTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
465 BRIDGEPORT AVE, SHELTON, CT 06484-4751
(203) 926-1189
(203) 925-0855
Mailing address
465 BRIDGEPORT AVE, SHELTON, CT 06484-4751
(203) 926-1189
(203) 925-0855
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001395
CT
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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