Organization
MALCOLM AND MARTIN GREENE OD PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J GREENE O.D. (OPTOMETRIST)
(617) 924-3343
Entity
Organization
Contact information
Practice address
31 SPRING ST, WATERTOWN, MA 02472-3473
(617) 924-3343
Mailing address
31 SPRING ST, WATERTOWN, MA 02472-3473
(617) 924-3343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9778349
—
MA
Enumeration date
11/02/2006
Last updated
02/18/2009
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