Individual
MR. PETER MALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.O.
Contact information
Practice address
109-6 MASONIC HOME ROAD, CHARLTON, MA 01507
(508) 248-1188
(508) 248-5128
Mailing address
PO BOX 194, CHARLTON, MA 01507-0194
(508) 248-1188
(508) 248-5128
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
04MA1011
MA
156FC0801X
Contact Lens Fitter
04MA1011
MA
156FX1800X
Optician
MA4511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535668
MASSHEALTH
MA
Enumeration date
02/15/2007
Last updated
09/11/2025
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