Organization
EYE SERVICES CONSULTANTS INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BERNARD CHARLES MD (PRESIDENT)
(617) 296-1828
Entity
Organization
Contact information
Practice address
2110 DORCHESTER AVE, SUITE 306, DORCHESTER, MA 02124-5628
(617) 296-1828
(617) 296-5717
Mailing address
PO BOX 365481, HYDE PARK, MA 02136
(617) 296-1828
(617) 298-0854
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
056584
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071413
—
MA
Enumeration date
01/17/2007
Last updated
11/08/2016
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