Healthcare Provider Details

I. General information

NPI: 1467435404
Provider Name (Legal Business Name): AMRIK SINGH PABLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 10/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 BOYDEN RD
HOLDEN MA
01520-2542
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-829-9944
  • Fax: 508-829-2100
Mailing address:
  • Phone: 800-225-8885
  • Fax: 508-334-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number54170
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: