Individual
DR. SONYA SHETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3 WOODLAND RD STE 120, STONEHAM, MA 02180-1710
(781) 979-0960
(781) 979-0618
Mailing address
3 WOODLAND RD STE 120, STONEHAM, MA 02180-1710
(781) 979-0960
(781) 979-0618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46009351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009351
—
IL
01
—
4125001
MEDICARE PTAN
IL
Enumeration date
12/01/2006
Last updated
04/09/2018
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