Individual
DR. ADAM D HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(877) 342-4626
(860) 647-7424
Mailing address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(877) 342-4626
(860) 647-7424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002807
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002807
STATE LICENSE NUMBER
CT
01
—
12144716
CAQH NUMBER
—
Enumeration date
10/04/2010
Last updated
03/07/2023
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