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Individual

ANDREW SCOTT MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
149 HAZARD AVE # 4521, ENFIELD, CT 06082-4521
(860) 749-0757
(860) 763-4335
Mailing address
8 WILSON CT, ENFIELD, CT 06082-5225
(860) 805-2248

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3405
CT

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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