Individual
MARIA MERCURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
800 WASHINGTON ST, BOX 450, BOSTON, MA 02111-1552
(617) 636-4600
(617) 636-4867
Mailing address
285 ALBEMARLE RD, NEWTON, MA 02460-1359
(617) 630-4467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3709
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312959
—
MA
Enumeration date
04/14/2006
Last updated
04/04/2023
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