Jerome Glazer Od

NPI #1265618169 in Wethersfield, Connecticut

Provider Information

NPI Number: 1265618169
Entity Type: Organization
Organization Name: Jerome Glazer Od
Primary Specialty: Optometrist
Enumeration Date: Jan 10, 2008
Last Updated: Aug 17, 2009

Practice Location

Address: 67 WELLS RD
City: Wethersfield
State: Connecticut
ZIP Code: 06109-3043
Phone: (860) 529-5429

Authorized Official

Name: JEROME I GLAZER, O.D.
Title: OWNER
Phone: (860) 529-5429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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