Individual
YANPENG DING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2034A CENTRE ST, WEST ROXBURY, MA 02132
(617) 469-8733
Mailing address
2034A CENTRE ST, WEST ROXBURY, MA 02132
(617) 469-8733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5127
MA
Other
Enumeration date
09/24/2015
Last updated
11/04/2015
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