Individual
ALAN ROBERT PICCOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 CHESTNUT ST, LYNN, MA 01904-2717
(781) 592-8419
(781) 598-1121
Mailing address
518 CHESTNUT ST, LYNN, MA 01904-2717
(781) 592-8419
(781) 598-1121
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1941
MA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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