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Organization

CONCORD FAMILY VISION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER UDINA OD (OPTOMETRIST)
(603) 225-2512
Entity
Organization

Contact information

Practice address
8 N STATE ST, CONCORD, NH 03301-4038
(603) 225-2512
(603) 225-3249
Mailing address
8 NORTH STATE STREET, CONCORD, NH 03301
(603) 225-2512
(603) 225-3249

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0750
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030353247
NH
05
30008880
NH
Enumeration date
01/06/2016
Last updated
03/04/2016
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