Organization
BARHAM SHOMALI OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHRAM SHOMALI OD (OWNER)
(617) 426-3236
Entity
Organization
Contact information
Practice address
101 TREMONT ST STE 406, BOSTON, MA 02108-5011
(617) 426-3236
Mailing address
101 TREMONT ST STE 406, BOSTON, MA 02108-5011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20998
BCBS MA
MA
Enumeration date
09/14/2007
Last updated
09/14/2007
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