Individual
SUSAN P. PREWANDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
64 WINTHROP ST, TAUNTON, MA 02780-4242
(508) 823-5536
(508) 880-3798
Mailing address
64 WINTHROP ST, TAUNTON, MA 02780-4242
(508) 823-5536
(508) 880-3798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3451
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155691
—
MA
Enumeration date
09/30/2005
Last updated
09/21/2022
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