Organization
BAY STATE EXCELLENT VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN D MOSER (OFFICEMANAGER)
(603) 430-5225
Entity
Organization
Contact information
Practice address
600 MAIN ST, MALDEN, MA 02148-3919
(781) 321-6463
Mailing address
155 GRIFFIN RD # 1, PORTSMOUTH, NH 03801-4125
(603) 430-5225
(603) 430-1230
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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