Organization
APPLETON EYE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL GASIOROWSKI OD (OWNER)
(781) 895-2500
Entity
Organization
Contact information
Practice address
0 GOVERNORS AVE, MEDFORD, MA 02155
(781) 895-2500
Mailing address
0 GOVERNORS AVE, MEDFORD, MA 02155
(781) 895-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391727
—
MA
Enumeration date
09/11/2017
Last updated
09/11/2017
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