Merdoche Ephraim Gustave
NPI #1003799362 in Groton, Connecticut
Provider Information
- NPI Number
- 1003799362
- Entity Type
- Individual
- Name
- Merdoche Ephraim Gustave
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 25, 2025
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 150 GOLD STAR HWY
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-3442
- Phone
- (860) 449-0185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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