Doctor Name: | MR. E. CRAIG FRITZ |
NPI Number: | 1003032210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.O. |
License Number: | 000552 |
Business Practice Address: | 267 E Main St Branford, CT - 064053126 |
Business Phone Number: | 2034889900 |
Business Fax Number: | 2034889900 |
Mailing Address: | 267 E Main St, BRANFORD |
State: | CT |
Postal Code: | 064053126 |
Phone Number: | 2034889900 |
Fax Number: | 2034889900 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 000552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |