Individual
DR. JOHN JOSEPH IANNITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
180 ENDICOTT ST, DANVERS, MA 01923-3683
(978) 774-4500
(978) 774-0974
Mailing address
27 HEARD DR, IPSWICH, MA 01938-1628
(978) 621-9828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354074
—
MA
Enumeration date
11/12/2006
Last updated
07/08/2007
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