Individual
ANTHONY JAMES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
60 MONTOWESE ST, BRANFORD, CT 06405-3889
(203) 488-9544
Mailing address
60 MONTOWESE ST, BRANFORD, CT 06405-3889
(203) 488-9544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003214
CT
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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