Individual
DR. ADELE M SAN CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
823 WASHINGTON ST, BRAINTREE, MA 02184
(781) 848-7977
(781) 848-7977
Mailing address
823 WASHINGTON ST, BRAINTREE, MA 02184
(781) 848-7977
(781) 848-7977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331139
—
MA
01
—
W15298
BX
—
Enumeration date
10/11/2006
Last updated
07/08/2007
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