Organization
MASSACHUSETTS EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G GREEN PRACTICE ADMINISTRAT (PRACTICE ADMINISTRATOR)
(978) 703-0218
Entity
Organization
Contact information
Practice address
19 VILLAGE SQUARE, CHELMSFORD, MA 01824
(978) 256-5600
(978) 703-0250
Mailing address
19 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-5600
(978) 703-0250
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9721614
—
MA
Enumeration date
06/20/2007
Last updated
07/26/2010
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