DR. Regan Marquis Prudhomme, OD

NPI #1548450588 in Manchester, Connecticut

Provider Information

NPI Number: 1548450588
Entity Type: Individual
Name: DR. Regan Marquis Prudhomme, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 26, 2007
Last Updated: Apr 23, 2015

Practice Location

Address: 194 BUCKLAND HILLS DR
Address 2: SUITE 1106
City: Manchester
State: Connecticut
ZIP Code: 06042
Phone: (860) 644-3364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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