Organization
BOSTONIA TECH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DORNFELD (CEO)
(774) 240-6719
Entity
Organization
Contact information
Practice address
139A CHARLES ST, STE 229, BOSTON, MA 02114-3252
(774) 240-6719
Mailing address
139A CHARLES ST, STE 229, BOSTON, MA 02114-3252
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
56922
MA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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