Individual
PETER E CERRUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
40 FRANKLIN ST, LEE, MA 01238-1630
(413) 243-0604
(413) 243-3939
Mailing address
PO BOX 399, LEE, MA 01238-0399
(413) 243-0604
(413) 243-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302678
—
MA
Enumeration date
08/01/2006
Last updated
06/09/2008
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