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Organization

ELIZABETH PROKOS BERRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH PROKOS BERRY O.D. (OPTOMETRIST)
(508) 347-7309
Entity
Organization

Contact information

Practice address
135 MAIN ST, STURBRIDGE, MA 01566-1569
(508) 347-7309
Mailing address
135 MAIN ST, STURBRIDGE, MA 01566-1569
(508) 347-7309

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3274
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0371050
MA
Enumeration date
01/23/2008
Last updated
04/10/2014
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