Individual
MRS. SONDA CAROL MOODY-MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
25 W UNION ST, 101, ASHLAND, MA 01721-1465
(508) 881-4800
(508) 881-7806
Mailing address
25 W UNION ST, 101, ASHLAND, MA 01721-1465
(508) 881-4800
(508) 881-7806
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
179779
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032228801603
—
MA
05
—
1599062
—
MA
Enumeration date
08/30/2006
Last updated
07/09/2007
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