Individual
DR. KEVIN MICHAEL GASIOROWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
39 GREEN ST, NEWBURYPORT, MA 01950-2652
(978) 465-8761
(978) 465-6228
Mailing address
39 GREEN ST, NEWBURYPORT, MA 01950-2652
(978) 465-8761
(978) 465-6228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391727
—
MA
01
—
W22037
BC BS
MA
Enumeration date
01/10/2006
Last updated
07/08/2007
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