Individual
DZENANA IDRIZOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
65 BEACON ST, SOMERVILLE, MA 02143-4324
(617) 665-1347
Mailing address
65 BEACON ST, SOMERVILLE, MA 02143-4324
(617) 665-1347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4544
MA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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