Individual
DR. JANIS FAITH MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
36 CORDAGE PARK CIR, SUITE 108, PLYMOUTH, MA 02360-7331
(508) 747-3937
(508) 747-0104
Mailing address
36 CORDAGE PARK CIR, SUITE 108, PLYMOUTH, MA 02360-7331
(508) 747-3937
(508) 474-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356638
—
MA
Enumeration date
07/21/2005
Last updated
09/15/2010
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