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Bonnie Quach

Optometrist in Cambridge, MA. Individual provider (NPI-1).

NPI number1114662913
StatusActive
Last updated in NPPESJul 5, 2022

Details

NPI
1114662913
Entity type
Individual (NPI-1)
Name
Bonnie Quach
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2022
Certification date
Jul 5, 2022
Last updated
Jul 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5532MAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

603 Concord Ave Ste B
Cambridge, MA 02138-1380

Phone 617-945-2906

Mailing address

33 Gilbert St
Watertown, MA 02472-1783

Phone 857-204-9525

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