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Contact Information

FREDERICK A MOFFA, OD
355 SALMON BROOK ST
GRANBY, CT06035-1804
 Phone: 860-653-7440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for FREDERICK A MOFFA · (Male)

NPI Number 1679509509
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/23/2006
Last updated 03/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 2388
  • CT Medicaid 004172699
  • CT Other 090002388CT 04 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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