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DR. NICHOLAS ERNEST SOSTILIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
(203) 333-6722
Mailing address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
(203) 333-6722

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3.003109
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008112906
CT
Enumeration date
08/06/2019
Last updated
10/31/2022
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