NPI 1144211681

Worcester Dermatology Associates, P.C.

Organisation Specialist Worcester, MA

Practice location

Address: 100 Central St, Worcester, MA 01608-1209
Phone: (508) 754-3823
Fax: (508) 753-0151
Mailing address: 100 Martin Luther King Jr Blvd, Worcester, MA 01608-1209

Authorised official

Name: Lori Kixmiller
Title: Office Manager
Phone: (508) 754-3823

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 75849 (MA)

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Registry record

NPI: 1144211681
Entity type: Organization
NPI issued: 3 Nov 2005
Record last updated: 13 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.