Individual
DR. MOOJAN ROUHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
65 HUTCHINS RD, CARLISLE, MA 01741-1027
(978) 371-8026
Mailing address
65 HUTCHINS RD, CARLISLE, MA 01741-1027
(978) 371-8026
(978) 686-0682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371980
—
MA
01
—
W15831
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/16/2006
Last updated
10/22/2008
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