Individual
DR. HOWARD STEVEN GRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
122 E CENTER ST, STE B, MANCHESTER, CT 06040-5265
(860) 646-3933
(860) 432-1116
Mailing address
122 E CENTER ST, STE B, MANCHESTER, CT 06040-5265
(860) 646-3933
(860) 432-1116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
766
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024204
—
CT
Enumeration date
10/18/2005
Last updated
05/23/2008
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