Individual
HAROLD CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-4296
Mailing address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-4296
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215
RDO LICENSE
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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