is a Critical Care Medicine in Worcester, Massachusetts. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1285685883. The last update date is .
's current location address is 630 Plantation St, Worcester, Massachusetts. You can contact this provider via phone number 5083685529 and fax number 5083685530. The mailing address for is 630 Plantation St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 630 Plantation St, Worcester, Massachusetts |
| Phone Number | 5083685529 |
| Fax Number | 5083685530 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285685883 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 630 Plantation St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 1605 |
| Phone Number | 5083685529 |
| Fax Number | 5083685530 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 36568 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7336195 | AETNA US HEALTHCARE | ||
| 7924337 | CIGNA HEALTH PLAN | ||
| 27095 | CHILDRENS MEDICAL SECURIT | ||
| 784088 | MVP HEALTH CARE | ||
| AA7079 | HARVARD PILGRIM HEALTHCAR | ||
| 934645 | FIRST HEALTH | ||
| 27095 | HEALTHY START | ||
| 3099920 | MA | -- | |
| 4800064 | EVERCARE | ||
| N01620 | BLUE SHIELD HMO BLUE |
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