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Individual

MR. CARL D MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
26 HOSPITAL HILL RD, SHARON, CT 06069
(860) 364-0878
(860) 364-2284
Mailing address
26 HOSPITAL HILL RD, SHARON, CT 06069
(860) 364-0878
(860) 364-2284

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000691
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100000691CT03
ANTHEM BC BS
CT
01
13392
SPECTERA
UT
Enumeration date
03/28/2007
Last updated
07/08/2007
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