Individual
DR. ANN KENT-GASIOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(978) 538-4400
(978) 538-4721
Mailing address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(978) 531-4400
(978) 538-4721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356514
—
MA
05
—
110016370A
—
MA
Enumeration date
09/28/2006
Last updated
11/16/2010
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