| NPI | 1568772374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNET UNG Owner 781-244-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 256771) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |