Michael K Edelstein OD

NPI 1043296213 - Optometrist - 152W00000X

NPI Details
NPI 1043296213
Gender Male
Enumeration Date 12/20/2005
Last Updated 04/02/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
WALTHAM MA, 02453-0415, US
Phone (781) 899-3200
Fax (781) 894-4645
Business Location
PO BOX 789
LUDLOW MA, 01056-0789, US
Phone (413) 509-1000
Fax (413) 509-1003
Taxonomy Code 152W00000X
License State Massachusetts
License Number 2402TP
Remove 1043296213 NPI Number

According to our database, Dr. Michael K Edelstein OD NPI is 1043296213, taxonomy code is 152W00000X and license number is 2402TP, license state is located at Massachusetts. Michael K Edelstein OD physically located at 446 Moody St, Waltham MA, 02453-0415. NPI Number Michael K Edelstein OD has the Individual type.

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1043296213 NPI number is provided on an as is basis without warranty of any kind. 1043296213 is maintained by the National Plan & Provider Enumeration System. The contents of Michael K Edelstein OD are for informational purposes only.