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HAAJRA AHMED OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1972164010

Individual Registrant:
 HAAJRA  AHMED OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
194 BUCKLAND HILLS DR  MANCHESTER, CT 06042-8705 US
Tel: 860-612-8681  Fax: --

Contact information for business:
PO BOX 146  WINDSOR, CT 06095-0146 US
Tel: --  Fax: --

Registration Information:
NPI: 1972164010
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CT3106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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