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Individual

DR. KULDIP KUMAR VAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
454 BROADWAY STE 106, REVERE, MA 02151-3050
(781) 286-5854
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
75927
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3097129
MA
01
729023
TUFTS HEALTH PLAN
MA
01
J12331
BCBS MA
MA
Enumeration date
11/01/2005
Last updated
01/07/2015
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