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Individual

HESSAM VAZIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
45 ASYLUM ST, HARTFORD, CT 06103-2208
(860) 522-2020
(860) 522-5577
Mailing address
221 TRUMBULL ST, #1808, HARTFORD, CT 06103-1500
(617) 447-5853

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4778
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2825
CT LICENSE
CT
Enumeration date
01/30/2010
Last updated
11/05/2015
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