Concord -Imtrex INC
NPI #1003039082 in Natick, Massachusetts
Provider Information
- NPI Number
- 1003039082
- Entity Type
- Organization
- Organization Name
- Concord -Imtrex INC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1245 WORCESTER ST
- City
- Natick
- State
- Massachusetts
- ZIP Code
- 01760-1515
- Phone
- (508) 651-9811
Authorized Official
- Name
- MRS. SVETLANA BOGOMOLOV, OPTICION
- Title
- PRESIDENT
- Phone
- (508) 651-9811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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