Individual
MARY ANN CELENTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
305 BICENTENNIAL HIGHWAY, SPRINGFIELD, MA 01118
(413) 733-4101
(413) 796-6821
Mailing address
305 BICENTENNIAL HIGHWAY, SPRINGFIELD, MA 01118
(413) 733-4101
(413) 796-6821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4506
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025183/A
—
MA
Enumeration date
11/21/2006
Last updated
01/15/2016
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