Organization
EYE & ORBIT SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DALLOW MD (PRESIDENT)
(781) 729-7401
Entity
Organization
Contact information
Practice address
15 DIX ST, WINCHESTER, MA 01890-1870
(781) 729-7401
(781) 729-5160
Mailing address
340 MAIN ST, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9778853
—
MA
Enumeration date
07/12/2005
Last updated
07/21/2022
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