Organization
DR. STACY COEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY MARDINE COEN O.D. (OPTOMETRIST)
(617) 784-5002
Entity
Organization
Contact information
Practice address
83 NEWBURY ST, BOSTON, MA 02116-3284
(617) 784-5002
(978) 698-1228
Mailing address
63 AUSTIN RD, SUDBURY, MA 01776-2635
(617) 784-5002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4407
MA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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