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Individual

DR. TAI A NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
90 ELM ST, TARGET OPTICAL, ENFIELD, CT 06082-3770
(860) 741-2020
(860) 956-8175
Mailing address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
(860) 956-1396
(860) 956-8175

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002547
CT

Other

Enumeration date
03/07/2007
Last updated
02/01/2016
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