Individual
THOMAS MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
865 MERRIAM AVE, SUITE 121, LEOMINSTER, MA 01453
(978) 537-6045
(978) 534-9845
Mailing address
865 MERRIAM AVE, SUITE 121, LEOMINSTER, MA 01453
(978) 537-6045
(978) 534-9845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4198
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335321
—
MA
05
—
110014790A
—
MA
Enumeration date
07/21/2006
Last updated
05/05/2010
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