Organization
NORTHERN CONNECTICUT EYE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL HAMI KHALIQ M.D. (PRESIDENT)
(860) 763-4046
Entity
Organization
Contact information
Practice address
146 HAZARD AVE SUITE 106, ENFIELD, CT 06082
(860) 763-4046
(860) 763-3856
Mailing address
146 HAZARD AVE SUITE 106, ENFIELD, CT 06082
(860) 763-4046
(860) 763-3856
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
019793
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001197938
—
CT
Enumeration date
05/02/2007
Last updated
11/04/2008
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