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Organization
ELIZABETH PROKOS BERRY
Active
Organization
ELIZABETH PROKOS BERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH PROKOS BERRY O.D. (OPTOMETRIST)
(508) 347-7309
Entity
Organization
Contact information
Practice address
135 MAIN ST, STURBRIDGE, MA 01566-1569
(508) 347-7309
Mailing address
135 MAIN ST, STURBRIDGE, MA 01566-1569
(508) 347-7309
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371050
—
MA
Enumeration date
01/23/2008
Last updated
04/10/2014
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