Organization
DR. MARK S. FONTAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S FONTAINE (OWNER)
(978) 537-6324
Entity
Organization
Contact information
Practice address
59 N MAIN ST, LEOMINSTER, MA 01453-5507
(978) 537-6324
Mailing address
59 N MAIN ST, LEOMINSTER, MA 01453-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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