Individual
MIRI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
45 COLBURN DR, SHARON, MA 02067-2969
(781) 344-3331
(781) 344-4717
Mailing address
45 COLBURN DR, SHARON, MA 02067-2969
(781) 344-3331
(781) 344-4717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3834
MA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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