Provider Demographics
NPI:1487710737
Name:TURRO, EDWARD GEORGE (OD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:GEORGE
Last Name:TURRO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:25 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1602
Mailing Address - Country:US
Mailing Address - Phone:860-561-5759
Mailing Address - Fax:860-314-2951
Practice Address - Street 1:72 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4216
Practice Address - Country:US
Practice Address - Phone:860-582-8088
Practice Address - Fax:860-314-2951
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CTCT0951152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4051744Medicaid
1487710737Medicare NSC
CTT23125Medicare UPIN
CT4051744Medicaid