Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 001650 | CT |
NPI | 1104358498 |
---|---|
Provider Name | Faith Razzano-Torpey |
First Address | Hartford, CT 06106-3601 |
Second Address | Hartford, CT 06106-3601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 28/03/2017 |