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Individual

DR. TAK-MAN KIMBERLY FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
386 W BROADWAY, BOSTON, MA 02127-2215
(617) 269-7500
Mailing address
386 W BROADWAY, BOSTON, MA 02127-2215

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
009206
NY
152W00000X
Optometrist
Primary
5516
MA

Other

Enumeration date
07/29/2020
Last updated
12/10/2021
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