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Individual

DR. TERESA KOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
250 NORTHAMPTON STREET, EASTHAMPTON, MA 01027-1046
(413) 527-9284
(413) 527-8181
Mailing address
250 NORTHAMPTON STREET, EASTHAMPTON, MA 01027-1046
(413) 527-9284
(413) 527-8181

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3098
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0350664
MA
01
042797983
VSP
01
103098
TUFTS
01
13664
HNE
01
W15608
BCBS
Enumeration date
09/28/2006
Last updated
10/01/2013
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