Organization
OCULOPLASTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND MAGAURAN MD (OWNER)
(774) 722-0582
Entity
Organization
Contact information
Practice address
275 BICENTENNIAL HWY, SUITE 101, SPRINGFIELD, MA 01118-1900
(413) 783-3100
(413) 782-7998
Mailing address
PO BOX 60751, LONGMEADOW, MA 01116-0751
(413) 783-3100
(413) 782-7998
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9713191
—
MA
Enumeration date
10/20/2010
Last updated
05/06/2015
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