Individual
MS. ELLEN CARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.O
Contact information
Practice address
1 PATRIOT LN, UNIT 12, GEORGETOWN, MA 01833-2235
(978) 595-5359
Mailing address
4 GRANT ST, 3L, HAVERHILL, MA 01830-4169
(617) 797-4871
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6021
MA
156FX1800X
Optician
8089
NY
Other
Enumeration date
04/03/2007
Last updated
06/03/2011
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