Organization
SPEC, LLC
Active
Parent organization
SPECIALIZED PEDIATRIC EYE CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED PEDIATRIC EYE CARE, INC
Authorized official
DR. DANIELLE MONIQUE LEDOUX MD (PRESIDENT)
(617) 650-9997
Entity
Organization
Contact information
Practice address
77 HERRICK ST, UNIT 102, BEVERLY, MA 01915-2734
(978) 338-4321
Mailing address
77 HERRICK ST, UNIT 102, BEVERLY, MA 01915-2734
(978) 338-4321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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