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Individual

DR. PETER JOHN VIOLETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
333 NORTH AVE, WAKEFIELD, MA 01880-2300
(781) 245-3135
(781) 245-4518
Mailing address
333 NORTH AVE, SUITE 1, WAKEFIELD, MA 01880-2300
(781) 245-3135
(781) 245-4518

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3326
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15158-5
HARVARD PILGRIM
MA
01
716213
TUFTS
MA
01
W15753
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
03/05/2007
Last updated
01/26/2012
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