Individual
DR. MICHAEL ALLEN KONDIK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
581 2ND ST, MANCHESTER, NH 03102-5200
(603) 668-2010
Mailing address
12 CASTLEROCK ST, BOSTON, MA 02125-1002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
991
NH
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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