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Individual

CRAIG S BROTSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5 WATER ST, MILFORD, MA 01757-4105
(508) 381-5600
(508) 381-5610
Mailing address
5 WATER ST, MILFORD, MA 01757-4105
(508) 381-5600
(508) 381-5610

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3338
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
TRICARE CHAMPUS
01
2213091
FIRST HEALTH
01
2649494
CIGNA PAL ID
01
4590569
AETNA US HEALTHCARE
01
60436
CHILDRENS MEDICAL SECURIT
01
61208
FALLON COMMUNITY HEALTH P
01
787403
MVP HEALTH CARE
01
AA2836
HARVARD PILGRIM HEALTHCAR
01
W15740
BLUE CARE ELECT
Enumeration date
11/09/2005
Last updated
11/06/2007
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