Individual
MARTIN DAVID KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
607 TENNEY MOUNTAIN HWY, PLYMOUTH, NH 03264-3156
(603) 536-3569
(603) 536-3654
Mailing address
607 TENNEY MOUNTAIN HWY, PLYMOUTH, NH 03264-3156
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
014
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003865
—
NH
Enumeration date
03/16/2007
Last updated
09/16/2008
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