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Individual

DR. PRATHIK MANUEL PHILIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D., M.P.H.

Contact information

Practice address
23 LAKE ST, BILLERICA, MA 01821-3843
(978) 930-1576
Mailing address
23 LAKE ST, BILLERICA, MA 01821-3843
(978) 930-1576

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5179
MA

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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