DR. Jill E Federico, OD

NPI #1083080881 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1083080881
Entity Type: Individual
Name: DR. Jill E Federico, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 15, 2015
Last Updated: Jul 29, 2016

Practice Location

Address: 155 GRIFFIN RD
Address 2: EXCELLENT VISION
City: Portsmouth
State: New Hampshire
ZIP Code: 03801-4125
Phone: (603) 430-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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