person
Kenneth John Fazio, LDO
NPI 1457133308

Kenneth John Fazio is a Optician based in Waltham, MA and is specialized in Optician. Kenneth John Fazio practices in South Waltham, MA and has the professional credentials of LDO. The NPI Number for Kenneth John Fazio is 1457133308 and holds a License No. (Massachusetts).

The current practice location address for Kenneth John Fazio is 9 Hope Ave, South Waltham, MA and can be reached out via phone at 781-216-1444.

Location: 9 Hope Ave, South Waltham, MA, 02453-2741
person
Provider Profile Details
NPI Number
1457133308
Provider Name
Kenneth John Fazio
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
9 Hope Ave, South Waltham, MA, 02453-2741
Phone Number
781-216-1444
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9 Hope Ave
City
State
Zip
02453-2741
Phone Number
781-216-1444
Fax Number
person
Provider Business Mailing Address Details
Address
9 Hope Ave
City
State
Zip
02453-2741
Phone Number
781-216-1444
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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