Individual
TAYLOR ANN MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 CENTRE ST STE 1, WEST ROXBURY, MA 02132-3316
(617) 524-7055
Mailing address
1940 COMMONWEALTH AVE APT 45, BRIGHTON, MA 02135-5806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S38893331
DRIVER'S LICENSE
MA
Enumeration date
07/10/2017
Last updated
03/17/2018
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