Individual
DR. AZADEH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
33 BROAD ST LBBY 2, BOSTON, MA 02109-4229
(617) 742-7200
(617) 742-7272
Mailing address
30 TURNPIKE RD, SUITE 7, SOUTHBOROUGH, MA 01772-2114
(508) 481-8558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5075
MA
152W00000X
Optometrist
AZ
AZ
Other
Enumeration date
02/02/2015
Last updated
07/21/2022
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