Maselli, Thomas R

Maselli, Thomas R is an individual health care provider with primary practice located at 151 Ashland St , North Adams MA 01247. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maselli, Thomas R can be contacted via phone (413) 662-2020.

Contact Information

Primary practice address
151 Ashland St North Adams MA 01247
Phone: (413) 662-2020
Fax: (413) 662-2908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2931 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 201 Vermont

Profile Details

NPI number 1396718839
LBN Legal business name Maselli, Thomas R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396718839 NPPES
Massachusetts MEDICAID 0341827

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