Organization
MASCOMA EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD C WARREN JR. O.D. (OWNER)
(603) 448-2111
Entity
Organization
Contact information
Practice address
24 HANOVER STREET, SUITE 3A, LEBANON, NH 03766-1334
(603) 448-2111
(603) 448-2443
Mailing address
24 HANOVER STREET, SUITE 3A, LEBANON, NH 03766-1334
(603) 448-2111
(603) 448-2443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0464
NH
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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