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Organization

BOSTON VISION NETWORK ONE - HALLMARK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMIR MELKI MD (OWNER)
(617) 818-7075
Entity
Organization

Contact information

Practice address
101 MAIN ST, MEDFORD, MA 02155-4540
(617) 202-2020
Mailing address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(603) 769-9340

Taxonomy

Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
207WX0107X
Retina Specialist (Ophthalmology) Physician
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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