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Contact Information

ADVANCED GLAUCOMA SPECIALISTS
20 PONDMEADOW DR
SUITE 203
READING, MA01867-3218
 Phone: 781-942-9876
 Fax: 781-942-9877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ADVANCED GLAUCOMA SPECIALISTS · (Female)

NPI Number 1790014900
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2009
Last updated 12/17/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 48630
  • MA Medicaid 977865
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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