Audrey Anne Azzoto
Technician/Technologist, Optician in Belmont, MA. Individual provider (NPI-1).
NPI number1295300960
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1295300960
- Entity type
- Individual (NPI-1)
- Name
- Audrey Anne Azzoto
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2021
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 5312 | MA | Yes |
Practice location
415 Concord AveBelmont, MA 02478-3024
Phone 617-489-8989
Mailing address
415 Concord AveBelmont, MA 02478-3024
Phone 617-489-8989
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