Central Mass Pediatric Gi & Nutrition, P.c.
NPI #1114195179 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1114195179
- Entity Type
- Organization
- Organization Name
- Central Mass Pediatric Gi & Nutrition, P.c.
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Feb 13, 2008
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 123 SUMMER STREET
- Address 2
- SUITE 630
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608
- Phone
- (508) 363-7344
Authorized Official
- Name
- IDRIS DAHOD
- Title
- PRESIDENT
- Phone
- (508) 363-7344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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