Individual
RAYMOND ARTHUR COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
#594 LICENSED DISPEN
Contact information
Practice address
1007 FARMINGTON AVENUE, SUITE 16, WEST HARTFORD, CT 06107-2107
(860) 232-7616
(860) 233-4565
Mailing address
1007 FARMINGTON AVE, SUITE 16, WEST HARTFORD, CT 06107-2717
(860) 232-7616
(413) 572-1308
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1270
MA
156FX1800X
Optician
Primary
594
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004036968
—
CT
Enumeration date
02/16/2007
Last updated
02/05/2009
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