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Contact Information

ADELE M SAN CLEMENTE, OD
823 WASHINGTON ST
BRAINTREE, MA02184
 Phone: 781-848-7977
 Fax: 781-848-7977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADELE M SAN CLEMENTE · (Female)

NPI # 1396833752
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2660
  • MA Medicaid 0331139
  • Other W15298 BX
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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