Organization
JOEL ZUCKERBRAUN ODPL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL ZUCKERBRAUN OD (PRESIDENT)
(860) 376-2848
Entity
Organization
Contact information
Practice address
8 NORTH MAIN STREET, JEWETT CITY, CT 06351
(860) 376-2848
(860) 376-4821
Mailing address
PO BOX 338, 8 NORTH MAIN STREET, JEWETT CITY, CT 06351
(860) 376-2848
(860) 376-4821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1014
CT
152W00000X
Optometrist
561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004194461
—
CT
Enumeration date
01/31/2008
Last updated
01/31/2008
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