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Organization
GARY WOLF
Active
Organization
GARY WOLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WOLF O.D (OPTOMETRIST)
(413) 283-2946
Entity
Organization
Contact information
Practice address
1140 THORNDIKE ST, PALMER, MA 01069-1509
(413) 283-2946
(413) 283-3631
Mailing address
1140 THORNDIKE ST, PO BOX 909, PALMER, MA 01069-1509
(413) 283-2946
(413) 283-3631
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0338656
—
MA
Enumeration date
02/27/2008
Last updated
03/05/2008
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