Individual
DANA M ROITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
195 WEST ST FL 1, WALTHAM, MA 02451-1111
(781) 487-2200
(781) 487-5717
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 314-2689
(617) 573-1065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098060A
—
MA
Enumeration date
07/31/2012
Last updated
02/09/2023
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