Individual
DR. YEN M. PANTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
81 SPEEN ST, NATICK, MA 01760-4168
(508) 820-8844
Mailing address
40 ROCKLAND ST, NATICK, MA 01760-5854
(617) 270-3256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4269
MA LICENSE
MA
Enumeration date
11/14/2006
Last updated
07/21/2022
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