Organization
KRISTEN BANEK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M BANEK (OWNER)
(617) 782-6650
Entity
Organization
Contact information
Practice address
372 WASHINGTON ST, BRIGHTON, MA 02135-2725
(617) 782-6650
Mailing address
372 WASHINGTON ST, BRIGHTON, MA 02135-2725
(617) 782-6650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4765
MA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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