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Individual

DR. VICENTE ANTONIO DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819
Mailing address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
251919
NY
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Primary
048651
CT

Other

Enumeration date
04/10/2008
Last updated
01/30/2019
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