Individual
KIM CIAMPA-MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
490 MAIN ST, MELROSE, MA 02176-3841
(781) 665-0897
(781) 665-8828
Mailing address
33 BELMONT PL, MELROSE, MA 02176-1713
(781) 665-5781
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA 3960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712833
—
MA
01
—
9376017
CIGNA
MA
01
—
W16162
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/05/2007
Last updated
08/13/2007
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