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Individual

DR. DANIEL AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
233 BROAD ST, BRIDGEWATER, MA 02324-1741
(508) 697-2564
(508) 697-5977
Mailing address
233 BROAD ST, BRIDGEWATER, MA 02324-1741

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27174
MA

Other

Enumeration date
05/28/2010
Last updated
05/28/2010
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