Individual
JOANNA AZZOTO-ZAFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
882 WALNUT ST, NEWTON, MA 02459-1756
(617) 965-0168
Mailing address
882 WALNUT ST, NEWTON, MA 02459-1756
(617) 965-0168
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1476
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0921050001
MEDICARE PROVIDER #
MA
Enumeration date
08/09/2007
Last updated
08/15/2007
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