NPI 1003039082
Concord -Imtrex INC
Practice location
- Address
- 1245 Worcester St, Natick, MA 01760-1515
- Phone
- (508) 651-9811
- Fax
- (508) 651-9814
Authorised official
- Name
- Svetlana Bogomolov
- Title
- President
- Phone
- (508) 651-9811
Registered specialties
Optician
Primary
Registry record
- NPI
- 1003039082
- Entity type
- Organization
- NPI issued
- 10 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.