Individual
BAO-KIM CAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 523-5006
Mailing address
120 HOLMES STREET, #209, QUINCY, MA 02171
(857) 526-1299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705659
—
MA
Enumeration date
12/04/2006
Last updated
07/01/2009
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