Healthcare Provider Details

I. General information

NPI: 1275465387
Provider Name (Legal Business Name): PAUL M CANGIANO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 N WASHINGTON ST
BOSTON MA
02114-1908
US

IV. Provider business mailing address

77 N WASHINGTON ST
BOSTON MA
02114-1908
US

V. Phone/Fax

Practice location:
  • Phone: 617-227-2010
  • Fax:
Mailing address:
  • Phone: 617-227-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: PAUL M. CANGIANO
Title or Position: OWNER/HEAD DOCTOR
Credential:
Phone: 617-227-2010