Individual
MS. SUSAN FRIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MAIN ST, NATICK, MA 01760-4505
(508) 655-2594
(508) 319-3014
Mailing address
23 MAIN ST, NATICK, MA 01760-4505
(508) 655-2594
(508) 319-3014
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4538
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364680
—
MA
Enumeration date
03/28/2007
Last updated
07/08/2007
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