Individual
MR. BRIAN WILLIAM GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.S.
Contact information
Practice address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 378-2281
(203) 377-0233
Mailing address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 378-2281
(203) 377-0233
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001123
CT
Other
Enumeration date
05/08/2009
Last updated
06/11/2009
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