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Individual

DR. DIANE AH-KINE NG POON HING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
204 ARSENAL ST, STE A, WATERTOWN, MA 02472-2781
(617) 336-7486
Mailing address
204 ARSENAL ST STE A, WATERTOWN, MA 02472-2872
(617) 336-7486

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4711
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110085225
MA
Enumeration date
09/25/2008
Last updated
01/15/2022
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