Individual
ARTHUR THOMAS MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 WALSH RD, NEWTON, MA 02459-3529
(617) 584-0209
Mailing address
PO BOX 263, BEDFORD, MA 01730-0263
(617) 584-0209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2737
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2737
LICENSE NUMBER
MA
Enumeration date
02/16/2019
Last updated
02/16/2019
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