Individual
BRIDGET L KITTREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
470 SOUTHERN ARTERY, QUINCY, MA 02169-4614
(617) 773-7426
(617) 770-9453
Mailing address
470 SOUTHERN ARTERY, QUINCY, MA 02169-4614
(617) 773-7426
(617) 770-9453
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529072
—
MA
01
—
412958
BC/BS #
MA
Enumeration date
08/16/2006
Last updated
07/09/2007
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