Individual
JEFFREY SHWOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 HOLLAND STREET, 1ST FLOOR, SOMERVILLE, MA 02144
(617) 629-6378
(617) 629-6214
Mailing address
40 HOLLAND STREET, 1ST FLOOR, SOMERVILLE, MA 02144
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6453
MA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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