Individual
MR. GARY WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1140 THORNDIKE ST, PALMER, MA 01069-1509
(413) 283-2946
(413) 283-3631
Mailing address
PO BOX 909, PALMER, MA 01069-0909
(413) 283-2946
(413) 283-3631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0338656
—
MA
Enumeration date
06/17/2005
Last updated
01/29/2008
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