Organization
SPECIALIZED PEDIATRIC EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE MONIQUE LEDOUX MD (PRESIDENT)
(617) 650-9997
Entity
Organization
Contact information
Practice address
77 HERRICK ST, UNIT 102, BEVERLY, MA 01915-2734
(978) 338-4321
Mailing address
77 HERRICK ST, UNIT 102, BEVERLY, MA 01915-2734
(978) 338-4321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
229695
MA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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