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Individual

DR. RICHARD MICHAEL PETRONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
LAHEY CLINIC, ONE ESSEX CENTER DRIVE, PEABODY, MA 01960
(978) 538-4416
Mailing address
LAHEY CLINIC, ONE ESSEX CTR DR, PEABODY, MA 01960
(978) 538-4440

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2993
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110016054A
MA
Enumeration date
10/02/2006
Last updated
11/29/2010
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