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Organization

EYE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL PATKIN M.D. (VICE-PRESIDENT)
(781) 581-7333
Entity
Organization

Contact information

Practice address
400 HIGHLAND AVE, SALEM, MA 01970-7003
(978) 744-1177
(978) 910-0125
Mailing address
400 HIGHLAND AVE, SUITE 20, SALEM, MA 01970-7003
(978) 744-1177
(978) 910-0125

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M12747
MEDICARE
MA
Enumeration date
07/30/2006
Last updated
01/04/2010
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