Individual
MARGARET GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
357 WASHINGTON ST, BRIGHTON, MA 02135-3322
(617) 903-3815
Mailing address
357 WASHINGTON ST, BRIGHTON, MA 02135-3322
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5184
MA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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