Individual
AGNES PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-4600
Mailing address
39 HEATH ST UNIT 2, BROOKLINE, MA 02445-5909
(857) 389-7124
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207W00000X
MA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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