Bay State Excellent Vision

NPI #1437597424 in Malden, Massachusetts

Provider Information

NPI Number: 1437597424
Entity Type: Organization
Organization Name: Bay State Excellent Vision
Primary Specialty: Ophthalmology
Enumeration Date: Jun 12, 2013
Last Updated: Jun 12, 2013

Practice Location

Address: 600 MAIN ST
City: Malden
State: Massachusetts
ZIP Code: 02148-3919
Phone: (781) 321-6463

Authorized Official

Name: MR. BRIAN D MOSER
Title: OFFICEMANAGER
Phone: (603) 430-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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