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Contact Information

BAY STATE EXCELLENT VISION
600 MAIN ST
MALDEN, MA02148-3919
 Phone: 781-321-6463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BAY STATE EXCELLENT VISION · (Female)

NPI # 1437597424
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2013
Last updated 06/12/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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