Individual
NPI #1134534563 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1134534563
- Entity Type
- Organization
- Organization Name
- Individual
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jun 24, 2014
- Last Updated
- Jun 24, 2014
Practice Location
- Address
- 81 PLANTATION STREET
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01604
- Phone
- (185) 596-8461
Authorized Official
- Name
- EMILY ARCHAMBAULT
- Title
- INTERN
- Phone
- (401) 744-7167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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