Organization
GSM PARK SQUARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL S MARCHETTO O.D. (OWNER/OPTOMETRIST)
(617) 936-4027
Entity
Organization
Contact information
Practice address
31 SAINT JAMES AVE, SUITE 135, BOSTON, MA 02116-4101
(617) 936-4027
(617) 936-4059
Mailing address
31 SAINT JAMES AVE, SUITE 135, BOSTON, MA 02116-4101
(617) 936-4027
(617) 936-4059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4225
MA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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