Individual
MR. ERIC MARTIN ODDLEIFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
484 MAIN ST, EASTER SEALS MA, WORCESTER, MA 01608-1893
(180) 024-4275
Mailing address
484 MAIN ST, EASTER SEALS MA, WORCESTER, MA 01608-1893
(180) 024-4275
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
7626
MA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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