NPI | 1831460500 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD STARR O PT Ician 508-673-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 4293) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2012-01-26 |