Individual
ALEXANDER OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MEMORIAL DR, AVON, MA 02322-1919
(508) 587-4763
Mailing address
30 MEMORIAL DR, AVON, MA 02322-1919
(508) 587-4763
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DOP6814
MA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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