MR. Peter John Fedora, L.O.
NPI #1659493021 in Manchester, Connecticut
Provider Information
- NPI Number
- 1659493021
- Entity Type
- Individual
- Name
- MR. Peter John Fedora, L.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- L.O.
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 236 N MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-2004
- Phone
- (860) 646-3577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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