Individual
HAAJRA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
194 BUCKLAND HILLS DR, MANCHESTER, CT 06042-8705
(860) 612-8681
Mailing address
PO BOX 146, WINDSOR, CT 06095-0146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3106
CT
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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