West Suburban Eye Surgery Center LLC
NPI #1770537227 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1770537227
- Entity Type
- Organization
- Organization Name
- West Suburban Eye Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ophthalmologic Surgery
- Enumeration Date
- May 20, 2006
- Last Updated
- Jun 4, 2013
Practice Location
- Address
- 1440 MAIN ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-1623
- Phone
- (781) 891-9300
Authorized Official
- Name
- ANDREW J GILLIES, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (781) 891-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ophthalmologic Surgery — Ophthalmologic Surgery |
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