Individual
YAN ZHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
900 HARTFORD TPKE, WATERFORD, CT 06385-4246
(860) 443-3178
Mailing address
61 CAMBRIDGE DR, NEWINGTON, CT 06111-5202
(860) 995-7562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3088
CT
Other
Enumeration date
10/03/2018
Last updated
06/09/2021
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