Individual
MR. ROBERT WESSON DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LO
Contact information
Practice address
471 LONGMEADOW ST, LONGMEADOW, MA 01106-1351
(413) 567-6242
Mailing address
471 LONGMEADOW ST, LONGMEADOW, MA 01106-1351
(413) 567-6242
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1477
MA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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