Organization
JONATHAN R PENA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN R PENA OD (OPTOMETRIST)
(920) 287-9866
Entity
Organization
Contact information
Practice address
495 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-4018
(617) 354-3600
(617) 812-8257
Mailing address
278 BARKER ST, NORTH ANDOVER, MA 01845-1123
(920) 287-9866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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