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Provider Information for 1427286194

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1427286194

Calendar   Last Updated:  2020-05-04
  Certification Date:  2020-05-04


Name Value
NPI 1427286194
Enumeration Date 2009-07-01
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 283 FOREST ST
READING, MA 01867-1418
United States

Phone: 339-970-1638 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax: 617-730-0392
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 207WX0110X - Ophthalmology Pediatric Ophthalmology and Strabismus Specialist MA 254041
No 207W00000X - Ophthalmology MA 254041