Organization
RICHARD L. JASIAK O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JASIAK O.D. (PRESIDENT)
(978) 374-2010
Entity
Organization
Contact information
Practice address
1 PARK WAY, HAVERHILL, MA 01830-6278
(978) 374-2010
Mailing address
1 PARK WAY, HAVERHILL, MA 01830-6278
(978) 374-2010
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3157
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353698
—
MA
Enumeration date
02/15/2008
Last updated
04/29/2008
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