Individual
EDMOND CHRISTIAN HENDEWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
599 FARMINGTON AVE STE 201, FARMINGTON, CT 06032-2356
(860) 837-9676
Mailing address
3 HIGH MEADOW RD, BLOOMFIELD, CT 06002-2133
(860) 221-4466
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001424
CT
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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