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Individual

DR. DOUGLAS P AGRANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
749 BOSTON POST RD, MADISON, CT 06443-3044
(203) 245-1492
(203) 245-9002
Mailing address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 596-2230

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000703
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004023701
CT
Enumeration date
04/07/2006
Last updated
02/12/2010
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