Individual
BRUCE GORAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 SOUTHBRIDGE ST, WORCESTER, MA 01608-2019
(508) 791-9291
Mailing address
38 SOUTHBRIDGE ST, WORCESTER, MA 01608
(508) 791-9291
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
5269
MA
156FX1800X
Optician
Primary
5269
MA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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