Individual
DR. JOHN MARK ABBONDANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
30 TURNPIKE RD, SUITE 7, SOUTHBOROUGH, MA 01772-2114
(508) 481-8558
(508) 848-3057
Mailing address
30 TURNPIKE RD, SUITE 7, SOUTHBOROUGH, MA 01772-2114
(508) 481-8558
(508) 848-3057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3407
MA
152WP0200X
Pediatric Optometrist
Primary
3407
MA
152WV0400X
Vision Therapy Optometrist
3407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369322
—
MA
Enumeration date
10/05/2006
Last updated
05/19/2014
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