Mr. Edward J Mamelok, LO
Mr. Edward J Mamelok, LO is an Optician in Old Greenwich, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
15 Arcadia RdOld Greenwich, CT 06870
Phone: (203) 698-2255
Fax: (203) 698-2655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 001192 (CT) |
|---|
Record details
| NPI number | 1588702559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LO |
| Sole proprietor | Yes |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | July 8, 2007 |