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Individual
ALYSE RICHARD
Active
Individual
ALYSE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
282304
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
282304
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110160033A
—
MA
Enumeration date
06/20/2016
Last updated
01/27/2026
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