Organization
WEST SUBURBAN EYE SURGERY CENTER LLC
Active
Other names
Surgisite Boston
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J GILLIES M.D. (MEDICAL DIRECTOR)
(781) 891-9300
Entity
Organization
Contact information
Practice address
1440 MAIN ST, WALTHAM, MA 02451-1623
(781) 891-9300
(781) 891-9305
Mailing address
1440 MAIN ST, WALTHAM, MA 02451-1623
(781) 891-9300
(781) 891-9305
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
06/04/2013
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