Individual
MR. JOSIAH DAVID SCOVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
161 BERLIN RD, CROMWELL, CT 06416-1059
(860) 635-6221
(860) 632-9231
Mailing address
67 JOSEPH CIR, HIGGANUM, CT 06441-4059
(860) 301-6806
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1820
CT
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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