Individual
MICHAEL CIANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301
(508) 559-6699
(508) 559-5073
Mailing address
55 DIMOCK STREET-DIMCOK COMMUNITY HEALTH CENTER, ROXBURY, MA 02119
(617) 442-8800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5230
MA
Other
Enumeration date
08/30/2017
Last updated
06/11/2019
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