Individual
DR. LEONARD BERTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 HIGHLAND AVE, #3B MASS OPTOMETRIC ASSOCIATES, P.C., MALDEN, MA 02148
(781) 321-9039
(781) 321-8611
Mailing address
2921 ERIE BLVD E, C/O EMPIRE VISION CENTER, INC, SYRACUSE, NY 13224-1430
(315) 445-7465
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393738
—
MA
Enumeration date
05/13/2006
Last updated
09/20/2007
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