MR. Edward J Mamelok, LO
NPI #1588702559 in Old Greenwich, Connecticut
Provider Information
- NPI Number
- 1588702559
- Entity Type
- Individual
- Name
- MR. Edward J Mamelok, LO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LO
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 ARCADIA ROAD
- City
- Old Greenwich
- State
- Connecticut
- ZIP Code
- 06870
- Phone
- (203) 698-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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