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Individual

MICHAEL E DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4188
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004188
TUFT HEALTH PLAN
05
0335151
MA
05
110014782A
MA
01
152629
HARVARD PILGRAM HLTH CARE
01
W16265
BLUE CROSS B S OF MA
Enumeration date
05/10/2006
Last updated
12/11/2015
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