Individual
KEVIN SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2002
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6277
MA
Other
Enumeration date
02/16/2012
Last updated
06/07/2012
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