Individual
MR. MICHAEL ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 WASHINGTON STREET, BIEWEND 11TH FLOOR, BOSTON, MA 02111-1533
(617) 636-5857
Mailing address
800 WASHINGTON STREET, BOX 450, BIEWEND 11TH FLOOR, BOSTON, MA 02111-1533
(617) 636-5857
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DOP4689
MA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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