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Individual

DR. VINCENT DOMENIC GIOVANNUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
348 SHREWSBURY ST, WORCESTER, MA 01604-4616
(508) 798-2421
(508) 754-9093
Mailing address
19 GLEN GERY RD, SHREWSBURY, MA 01545-1676
(508) 842-5629

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2907
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002907
TUFTS
MA
05
0355984
MA
01
152132
HARVARD PILGRIM
MA
01
22-00899
UNITED HEALTHCARE
MA
01
2508319
CIGNA
MA
01
2948700
AETNA
MA
01
36521
COLE
MA
01
9956
DAVIS
MA
Enumeration date
12/13/2006
Last updated
07/08/2007
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