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Individual

IRVING N BACHNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 PROSPECT ST, SUITE 101, LAWRENCE, MA 01841
(978) 688-6182
(978) 689-0731
Mailing address
50 PROSPECT ST, SUITE 101, LAWRENCE, MA 01841
(978) 688-6182
(978) 689-0731

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31613
MA
207W00000X
Ophthalmology Physician
7743
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103462
MA
05
30010743
NH
Enumeration date
11/21/2005
Last updated
07/08/2007
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