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Individual

DR. GEORGE AUGUSTUS SANTOS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
638 MAIN ST., VINEYARD HAVEN, MA 02568-0327
(508) 693-7222
(508) 693-8739
Mailing address
PO BOX 327, VINEYARD HAVEN, MA 02568-0327
(508) 693-7222
(508) 693-8739

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3235
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0353647
MA
Enumeration date
09/21/2006
Last updated
04/24/2008
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