Individual
VIKAS TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 565-3243
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 565-3243
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
228136
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119781
—
MA
Enumeration date
07/11/2006
Last updated
09/20/2017
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