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Organization

NORTH SUBURBAN EYE ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
C. DOUGLAS EVANS MD (PRESIDENT)
(781) 245-5200
Entity
Organization

Contact information

Practice address
669 MAIN ST, WAKEFIELD, MA 01880-5200
(781) 245-5200
Mailing address
669 MAIN ST, WAKEFIELD, MA 01880-5200
(781) 245-5200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
01/16/2007
Last updated
02/06/2019
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