Marciano, Anthony Charles

Marciano, Anthony Charles is an individual health care provider with primary practice located at 60 Waterbury Rd , Prospect CT 06712-1250. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marciano, Anthony Charles can be contacted via phone (203) 758-5555.

Contact Information

Primary practice address
60 Waterbury Rd Prospect CT 06712-1250
Phone: (203) 758-5555
Fax: (203) 758-6666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CT2543 Connecticut

Profile Details

NPI number 1629038914
LBN Legal business name Marciano, Anthony Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629038914 NPPES
Connecticut MEDICAID 004208890
Connecticut Other 2380911
Connecticut Other 2V1329
Connecticut Other 7484149
Connecticut Other 0900002543CT02
Connecticut Other P2135745
Connecticut Other 410043547

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