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Individual

RICHARD COMBDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4695 MAIN ST, BRIDGEPORT, CT 06606-1802
(203) 371-5800
(203) 371-6551
Mailing address
4695 MAIN ST, BRIDGEPORT, CT 06606-1802
(203) 371-5800
(203) 371-6551

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002724
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002724
ST OF CT LICENSE
CT
Enumeration date
01/17/2008
Last updated
01/17/2008
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