Individual
RONALD J. MASTROLIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
70 HUTTLESTON AVE, FAIRHAVEN, MA 02719-3140
(508) 994-2020
(508) 991-6082
Mailing address
70 HUTTLESTON AVE, FAIRHAVEN, MA 02719-3140
(508) 994-2020
(508) 991-6082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3395
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355933
—
MA
Enumeration date
09/30/2005
Last updated
09/21/2022
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