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Individual

DR. LIN MA CHIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
400 5TH AVE, SUITE 510, WALTHAM, MA 02451-8706
(781) 890-9922
(781) 890-9944
Mailing address
400 5TH AVE, SUITE 510, WALTHAM, MA 02451-8706
(781) 890-9922
(781) 890-9944

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4962
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4962
STATE LICENSE
MA
Enumeration date
08/08/2013
Last updated
03/06/2015
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