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Individual

PAUL NILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
546 S BROAD ST, 1D, MERIDEN, CT 06450-6600
(203) 630-3634
(203) 639-0809
Mailing address
546 S BROAD ST, 1D, MERIDEN, CT 06450-6600
(203) 630-3634
(203) 639-0809

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LO001309
CT

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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