Individual
CHRISTOPHER SURIEL-TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 RANDALL RD, PEABODY, MA 01960-1211
(978) 394-6433
Mailing address
5 RANDALL RD, PEABODY, MA 01960-1211
(978) 394-6433
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DOP100110
MA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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