Central Mass Pediatric Gi & Nutrition, P.C. in Worcester - Pediatric Gastroenterology
Central Mass Pediatric Gi & Nutrition, P.C. - NPI 1114195179
Central Mass Pediatric Gi & Nutrition, P.C. is a Pediatric Gastroenterology in Worcester, Massachusetts. Central Mass Pediatric Gi & Nutrition, P.C. practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Central Mass Pediatric Gi & Nutrition, P.C. is 1114195179. The last update date is 2008-02-13.
Central Mass Pediatric Gi & Nutrition, P.C.'s current location address is Po Box 1025, Worcester, Massachusetts. You can contact this provider via phone number 5083637344. The mailing address for Central Mass Pediatric Gi & Nutrition, P.C. is Po Box 1025, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Mass Pediatric Gi & Nutrition, P.C. |
|---|---|
| Address | Po Box 1025, Worcester, Massachusetts |
| Phone Number | 5083637344 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dahod Idris |
| Telephone Number | 5083637344 |
NPI Number Detail
| NPI Number | 1114195179 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | Po Box 1025 |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16131025 |
| Phone Number | 5083637344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 156574 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3185796 | MA | -- | |
| 691538 | MA | TUFTS | |
| 55515 | MA | FALLON | |
| M18069 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Central Mass Pediatric Gi & Nutrition, P.C.'s unique identification number?
The Central Mass Pediatric Gi & Nutrition, P.C. has been assigned the NPI (National Provider Identifier) Number 1114195179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Central Mass Pediatric Gi & Nutrition, P.C.'s facilities are situated?
The facilities of Central Mass Pediatric Gi & Nutrition, P.C. are physically located at the following address: Po Box 1025, Worcester, MA, 16131025.
What is the Central Mass Pediatric Gi & Nutrition, P.C.'s specialty and taxonomy code?
The Central Mass Pediatric Gi & Nutrition, P.C.'s specialty is Pediatric Gastroenterology, and the corresponding taxonomy code is 2080P0206X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114195179 to Central Mass Pediatric Gi & Nutrition, P.C.?
The Central Mass Pediatric Gi & Nutrition, P.C. received its 1114195179 assignment from the Centers for Medicare & Medicaid Services on 2008-02-13.
When was the information regarding Central Mass Pediatric Gi & Nutrition, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Central Mass Pediatric Gi & Nutrition, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-13.