Organization
BROADWAY OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MASIELLO OPTICAN (MANAGER)
(781) 289-0489
Entity
Organization
Contact information
Practice address
333 BROADWAY STREET, SUITE 1, REVERE, MA 02151
(781) 289-0489
Mailing address
333 BROADWAY, SUITE 1, REVERE, MA 02151-5017
(781) 289-0489
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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