Timothy A Fava, OPTICIAN
NPI #1508226762 in Brooklyn, Connecticut
Provider Information
- NPI Number
- 1508226762
- Entity Type
- Individual
- Name
- Timothy A Fava, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Mar 2, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 450 PROVIDENCE RD
- City
- Brooklyn
- State
- Connecticut
- ZIP Code
- 06234-1823
- Phone
- (860) 412-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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