Healthcare Provider Details

I. General information

NPI: 1417034208
Provider Name (Legal Business Name): TANZMAN, MASELLI & ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 ASHLAND ST
NORTH ADAMS MA
01247-4522
US

IV. Provider business mailing address

151 ASHLAND ST
NORTH ADAMS MA
01247-4522
US

V. Phone/Fax

Practice location:
  • Phone: 413-662-2020
  • Fax: 413-662-2908
Mailing address:
  • Phone: 413-662-2020
  • Fax: 413-662-2908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS R. MASELLI
Title or Position: OWNER
Credential: O.D.
Phone: 413-662-2020