Corey Caracciolo
NPI #1063059566 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1063059566
- Entity Type
- Individual
- Name
- Corey Caracciolo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 3, 2019
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 55 LAKE AVE N
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01655-0002
- Phone
- (508) 334-0605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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