DR. Edmund T Hackman, Jr., OD

NPI #1710995469 in Warwick, Rhode Island

Provider Information

NPI Number: 1710995469
Entity Type: Individual
Name: DR. Edmund T Hackman, Jr., OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1370 WARWICK AVE
City: Warwick
State: Rhode Island
ZIP Code: 02888-5019
Phone: (401) 463-6419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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