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Individual

SUZANNE POIRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPT

Contact information

Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8442
Mailing address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8418

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6310
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6310
LICENSE
MA
Enumeration date
01/22/2016
Last updated
01/22/2016
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