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Organization
CHARLTON OPTICAL
Active
Organization
CHARLTON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MALY R.D.O. (OWNER)
(508) 248-1188
Entity
Organization
Contact information
Practice address
109-6 MASONIC HOME ROAD, CHARLTON, MA 01507
(508) 248-1188
(508) 248-5128
Mailing address
PO BOX 194, 109-6 MASONIC HOME ROAD, CHARLTON, MA 01507-0194
(508) 248-1188
(508) 248-5128
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4511
MA
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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