Individual
GRIGOR MARTIROSYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
45 ALBERT ST, WALTHAM, MA 02453-1448
(617) 386-9471
Mailing address
45 ALBERT ST, WALTHAM, MA 02453-1448
(617) 386-9471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5626
MA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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