Organization
JONATHAN PENA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GIBSON OD (CHIEF MEDICAL OFFICER)
(919) 880-6066
Entity
Organization
Contact information
Practice address
278 BARKER ST, NORTH ANDOVER, MA 01845-1123
(617) 356-8117
Mailing address
278 BARKER ST, NORTH ANDOVER, MA 01845-1123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/15/2019
Last updated
09/27/2019
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