Organization
ASSOCIATED EYE SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL GABRIEL (OFFICE MANAGER)
(508) 747-4748
Entity
Organization
Contact information
Practice address
45 RESNIK RD STE 301, PLYMOUTH, MA 02360-4883
(508) 747-4748
(508) 747-0124
Mailing address
45 RESNIK RD STE 301, PLYMOUTH, MA 02360-4883
(508) 747-4748
(508) 747-0124
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100091270
—
MA
01
—
M20126
MEDICARE UPIN
MA
Enumeration date
01/23/2018
Last updated
05/20/2020
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