Individual
IMAD RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-8005
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5666
MA
152W00000X
Optometrist
TUV009385
NY
Other
Enumeration date
06/05/2021
Last updated
12/20/2023
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