DR. Jason Ronald Delisle, OD

NPI #1780838805 in Manchester, Connecticut

Provider Information

NPI Number: 1780838805
Entity Type: Individual
Name: DR. Jason Ronald Delisle, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 17, 2008
Last Updated: Nov 17, 2008

Practice Location

Address: 178 HARTFORD RD
City: Manchester
State: Connecticut
ZIP Code: 06040-5986
Phone: (860) 649-9973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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