Individual
DR. IRWIN M NATHANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
85 CONSTITUTION LN, STE 100C, DANVERS, MA 01923-3630
(978) 774-5510
(978) 774-3521
Mailing address
85 CONSTITUTION LN, STE 100C, DANVERS, MA 01923-3630
(978) 774-5510
(978) 774-3521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322369
—
MA
Enumeration date
01/12/2006
Last updated
06/01/2016
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