Individual
YAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4296
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4963
MA
Other
Enumeration date
06/18/2013
Last updated
06/25/2013
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