Worcester Internal Medicine

NPI 1578956595 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1578956595
Enumeration Date 03/16/2015
Last Updated 03/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name THOMAS THOMAS
Position PHYSICIAN
Phone (508) 756-1808
Fax (508) 798-0538
Practice Location
416 BELMONT ST
WORCESTER MA, 01604-1086, US
Phone (508) 756-1808
Fax (508) 798-0538
Business Location
416 BELMONT ST
WORCESTER MA, 01604-1086, US
Phone (508) 756-1808
Fax (508) 798-0538
Toxanomy
Taxonomy Code 363LP2300X
License State Massachusetts
License Number 264759
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According to our database, Worcester Internal Medicine NPI is 1578956595, taxonomy code is 363LP2300X and license number is 264759, license state is located at Massachusetts. Worcester Internal Medicine physically located at 416 Belmont St, Worcester MA, 01604-1086. NPI Number 1033115704 has the healthcare provider type.

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1578956595 NPI number is provided on an as is basis without warranty of any kind. 1578956595 is maintained by the National Plan & Provider Enumeration System. The contents of Worcester Internal Medicine are for informational purposes only.