Tlc the Laser Center (northeast) Inc.
NPI #1861606907 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1861606907
- Entity Type
- Organization
- Organization Name
- Tlc the Laser Center (northeast) Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 400 5TH AVE
- Address 2
- STE. 510
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-8706
- Phone
- (781) 890-9922
Authorized Official
- Name
- BRIAN L ANDREW
- Title
- SECRETARY
- Phone
- (636) 534-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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