MR. Michael Thomas Criscuolo, LO
NPI #1144063033 in Shelton, Connecticut
Provider Information
- NPI Number
- 1144063033
- Entity Type
- Individual
- Name
- MR. Michael Thomas Criscuolo, LO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LO
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 465 BRIDGEPORT AVE
- City
- Shelton
- State
- Connecticut
- ZIP Code
- 06484-4751
- Phone
- (203) 926-1189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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