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Individual

DENISE FALBOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LO

Contact information

Practice address
33 WELLES ST, GLASTONBURY, CT 06033-2047
(860) 633-1401
Mailing address
33 WELLES ST, GLASTONBURY, CT 06033-2047
(860) 633-1401

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001249
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46-0671759
NONE
CT
Enumeration date
03/18/2015
Last updated
03/18/2015
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