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Individual

KEVIN QUANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
591 LINCOLN ST, WORCESTER, MA 01605-1932
(508) 853-2020
Mailing address
591 LINCOLNST., ARINELLAWILLIAMS LLC, WORCESTER, MA 01605-1932
(508) 853-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4845
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110088624A
MA
01
4845
LISC BOARD OF OPTOMETRY
MA
Enumeration date
07/26/2010
Last updated
12/08/2016
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