Merdoche Ephraim Gustave
Merdoche Ephraim Gustave is an Optician in Groton, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2025
Practice location Address checks out
150 Gold Star HwyGroton, CT 06340-3442
Phone: (860) 449-0185
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1939 (CT) |
|---|
Record details
| NPI number | 1003799362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2025 |
| Last updated in NPPES | July 25, 2025 |
| Certification date | July 25, 2025 |
| Mailing address | 150 Gold Star Hwy, Groton, CT 06340-3442 |
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