Individual
MICHAEL TANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4659
MA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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