NPI 1326072810

Raffaele a Petrosino, OD

Practitioner Optometrist Wakefield, MA

Practice location

Address: 22 Yale Ave, Wakefield, MA 01880-2309
Phone: (781) 245-1871
Fax: (781) 245-7963

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3862 (MA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1326072810
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 11 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.