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Individual

DR. RICHARD CHARLES MARTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
144 ANGELL BROOK DR, WEST BOYLSTON, MA 01583-2120
(774) 261-8595
(774) 261-8595
Mailing address
144 ANGELL BROOK DR, WEST BOYLSTON, MA 01583-2120
(774) 261-8595
(774) 261-8595

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2365
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0328073
MA
Enumeration date
08/30/2005
Last updated
02/04/2015
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