Provider Demographics
NPI:1003374307
Name:GAFAS
Entity Type:Organization
Organization Name:GAFAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:LO
Authorized Official - Phone:203-612-7580
Mailing Address - Street 1:919 STRATFORD AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-6352
Mailing Address - Country:US
Mailing Address - Phone:203-612-7580
Mailing Address - Fax:
Practice Address - Street 1:919 STRATFORD AVE STE 4
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-6352
Practice Address - Country:US
Practice Address - Phone:203-612-7580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier