Individual
ANGELA IMPERIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 721-9701
Mailing address
26 GREYSTONE DR, HOLDEN, MA 01520-1200
(508) 829-0894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3797
MA LICENSE NUMBER
MA
Enumeration date
04/04/2007
Last updated
07/08/2007
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