Individual
MR. AMJAD MAHMOUD HAYYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1 WASHINGTON ST, MIDDLEBURY, VT 05753-1215
(802) 388-2165
Mailing address
3 FORBES CIR, MIDDLEBURY, VT 05753-1128
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
028-0000295
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011579
—
VT
Enumeration date
03/20/2007
Last updated
07/09/2007
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