Organization
ASSOCIATED EYE PHYSICIANS & SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY E BORODIC MD (PRESIDENT)
(617) 770-0011
Entity
Organization
Contact information
Practice address
1261 FURNACE BROOK PKWY, SUITE 15, QUINCY, MA 02169-4721
(617) 770-0011
(617) 770-0030
Mailing address
340 MAIN ST, SUITE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9770224
—
MA
Enumeration date
08/09/2005
Last updated
08/03/2011
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