Organization
CHARLESTOWN VISION ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL I SCHRAM OD (OPTOMETRIST PRESIDENT CHARLESTOWN V)
(617) 242-3577
Entity
Organization
Contact information
Practice address
175 MAIN ST, CHARLESTOWN, MA 02129-3222
(617) 242-3577
Mailing address
175 MAIN ST, CHARLESTOWN, MA 02129-3222
(617) 242-3577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2319
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700951
—
MA
Enumeration date
04/06/2006
Last updated
01/30/2008
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