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Contact Information

BOSTON RETINA, PLLC
422 WORCESTER ST
WELLESLEY, MA02481-5341
 Phone: 781-772-1791
 Fax: 781-489-5315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BOSTON RETINA PLLC · (Female)

NPI Number 1568700706
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2013
Last updated 02/18/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 39203
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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