Organization
CATARACT LASER CENTERCENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ELIZABETH MURPHY RN (ADMINISTRATOR)
(978) 632-6674
Entity
Organization
Contact information
Practice address
95 MECHANIC ST, GARDNER, MA 01440-3119
(978) 632-6674
(978) 632-5798
Mailing address
95 MECHANIC ST, GARDNER, MA 01440-3119
(978) 632-6674
(978) 632-5798
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
261QS0132X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850237
—
MA
Enumeration date
11/21/2006
Last updated
04/02/2015
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