Individual
CHARLES MAGGIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3961
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334171
—
MA
Enumeration date
04/03/2006
Last updated
07/08/2007
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