Individual
DONALD HENRY CZELUSNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
76 SUMMER ST, STE 120, FITCHBURG, MA 01420
(978) 345-3556
(978) 342-9251
Mailing address
PO BOX 1430, 76 SUMMER ST, FITCHBURG, MA 01420
(978) 345-3556
(978) 342-9251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399043
—
MA
Enumeration date
09/07/2006
Last updated
06/02/2010
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