Individual
NEARYRODH PROMKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL, 200 SPRINGS RD, BEDFORD, MA 01730
(781) 687-2000
Mailing address
49 VARNUM AVE, LOWELL, MA 01854-2510
(978) 394-8163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5662
MA
Other
Enumeration date
06/02/2023
Last updated
10/22/2024
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