Individual
MANISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 568-5800
(617) 568-4756
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 568-5800
(617) 568-4756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4322
MA
Other
Enumeration date
01/17/2007
Last updated
06/12/2020
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