Premise Health of Massachusetts, Medical PC
NPI #1295039196 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1295039196
- Entity Type
- Organization
- Organization Name
- Premise Health of Massachusetts, Medical PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 440 LINCOLN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01653
- Phone
- (508) 855-2222
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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