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Individual

MR. GIORGIO BRUNO SCIORTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
60 CHELMSFORD ST, CHELMSFORD, MA 01824-3099
(978) 256-6500
(978) 256-6565
Mailing address
60 CHELMSFORD ST, CHELMSFORD, MA 01824-3099
(978) 256-6500
(978) 256-6565

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1873
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110076793/A
MA
Enumeration date
06/19/2009
Last updated
06/19/2009
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