Linda A Fagundes PA-C

NPI 1710952064 - Physician Assistant - 363A00000X

NPI Details
NPI 1710952064
Gender Female
Enumeration Date 02/21/2006
Last Updated 04/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF SURGERY
WORCESTER MA, 01655-0002, US
Phone (508) 334-3278
Fax
Business Location
PO BOX 415348
BOSTON MA, 02241-0001, US
Phone (800) 225-8885
Fax (508) 334-1977
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 102
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According to our database, Ms. Linda A Fagundes PA-C NPI is 1710952064, taxonomy code is 363A00000X and license number is 102, license state is located at Massachusetts. Linda A Fagundes PA-C physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Linda A Fagundes PA-C has the Individual type.

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1710952064 NPI number is provided on an as is basis without warranty of any kind. 1710952064 is maintained by the National Plan & Provider Enumeration System. The contents of Linda A Fagundes PA-C are for informational purposes only.