Individual
DR. NELL RAE NAIDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
285 MAIN ST, FITCHBURG, MA 01420-4303
(978) 342-1837
(978) 345-7751
Mailing address
285 MAIN ST, FITCHBURG, MA 01420-4303
(978) 342-1837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3334
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110012083/A
—
MA
01
—
W20145
BLUE CROSS
MA
Enumeration date
05/23/2005
Last updated
09/23/2009
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