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Individual

DR. ERIC DAVID DOSTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1655 BOSTON RD, UNIT B16, SPRINGFIELD, MA 01129-1148
(413) 543-6878
(413) 543-9299
Mailing address
1655 BOSTON RD, UNIT B16, SPRINGFIELD, MA 01129-1148
(413) 543-6878
(413) 543-9299

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA4035
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9747940
MA
Enumeration date
07/18/2006
Last updated
05/18/2010
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