Organization
BOSTON LASER MEDFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR MELKI (OWNER)
(617) 566-0062
Entity
Organization
Contact information
Practice address
92 HIGH ST, UNIT T31, MEDFORD, MA 02155-3850
(781) 396-4010
Mailing address
1101 BEACON ST, SUITE 6W, BROOKLINE, MA 02446-5587
(617) 566-0062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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