Individual
DR. JOSEPH E. PAVANO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
198 EAST MAIN ST, NEW BRITAIN, CT 06051-1915
(860) 223-7900
(860) 826-7161
Mailing address
198 EAST MAIN ST, NEW BRITAIN, CT 06051-1915
(860) 223-7900
(860) 826-7161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004119203
—
CT
Enumeration date
02/22/2006
Last updated
03/01/2010
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