Organization
DEDHAM OPHTHALMIC CONSULTANTS AND SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J GILLIES M.D. (PRESIDENT)
(781) 251-2222
Entity
Organization
Contact information
Practice address
980 WASHINGTON ST, SUITE120, DEDHAM, MA 02026-6731
(781) 251-2222
(781) 234-0279
Mailing address
980 WASHINGTON ST, SUITE120, DEDHAM, MA 02026-6731
(781) 251-2222
(781) 234-0279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6070110001
MEDICARE PTAN
MA
Enumeration date
12/12/2013
Last updated
12/12/2013
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