| NPI | 1235319369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER AZZOTO O PT Ician/Manager 617-965-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 1476) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |