Individual
DR. MARTIN ALAN MASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
86 PARK ST, HARTFORD, CT 06106-2524
(860) 728-5200
(860) 728-5203
Mailing address
33 SOUTHPOND RD, SOUTH GLASTONBURY, CT 06073-2326
(860) 728-5200
(860) 728-5203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000755
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024139
—
CT
01
—
090000755CT02
BLUE CROSS & BLUE SHIELD
CT
Enumeration date
03/04/2007
Last updated
07/08/2007
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