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Individual

MR. THOMAS R MASELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
151 ASHLAND ST, NORTH ADAMS, MA 01247
(413) 662-2020
(413) 662-2908
Mailing address
151 ASHLAND ST, NORTH ADAMS, MA 01247
(413) 662-2020
(413) 662-2908

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
201
VT
152W00000X
Optometrist
Primary
2931
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0341827
MA
Enumeration date
02/07/2006
Last updated
02/04/2010
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