Jay R Patel
Technician/Technologist, Optician in Waltham, MA. Individual provider (NPI-1).
NPI number1821833716
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1821833716
- Entity type
- Individual (NPI-1)
- Name
- Jay R Patel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 6754 | MA | Yes |
Practice location
9 Hope AveWaltham, MA 02453-2741
Phone 781-216-1444
Mailing address
9 Hope AveWaltham, MA 02453-2741
Phone 781-276-1444
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