Barham Shomali Od
Optometrist in Boston, MA. Organization (NPI-2).
NPI number1922294792
StatusActive
Last updated in NPPESSep 14, 2007
Details
- NPI
- 1922294792
- Entity type
- Organization (NPI-2)
- Legal business name
- Barham Shomali Od
- Organization subpart
- No
- Enumeration date
- Sep 14, 2007
- Last updated
- Sep 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
101 Tremont St Ste 406Boston, MA 02108-5011
Phone 617-426-3236
Mailing address
101 Tremont St Ste 406Boston, MA 02108-5011
Authorized official
Bahram Shomali
Owner
6174263236
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