Individual
MR. GARY PAUL FEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
289 BRIDGE STREET, SPRINGFIELD, MA 01103
(413) 737-3303
(413) 739-5596
Mailing address
289 BRIDGE STREET, SPRINGFIELD, MA 01103
(413) 737-3303
(413) 739-5596
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513125
—
MA
Enumeration date
06/15/2007
Last updated
07/08/2007
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