Justin J Gwatirisa, NP
NPI #1427209311 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1427209311
- Entity Type
- Individual
- Name
- Justin J Gwatirisa, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Oct 9, 2008
- Last Updated
- Oct 9, 2008
Practice Location
- Address
- 55 LAKE AVE N
- Address 2
- DEPARTMENT OF SURGERY
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01655-0002
- Phone
- (508) 856-5821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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