Individual
VICTORIA NORTH
Active
Individual
VICTORIA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267333
MA
207W00000X
Ophthalmology Physician
302907
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
291440
MA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
302907
NY
Other
Enumeration date
06/22/2016
Last updated
01/10/2023
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