Individual
DR. EMILY KATRINA WIECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, PHD
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 262-2020
Mailing address
530 MASSACHUSETTS AVE APT 1A, BOSTON, MA 02118-1415
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
5244
MA
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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