NPI 1013994755
Elizabeth a Mahanor, MD
Practice location
- Address
- 123 Summer St, Worcester, MA 01608-1312
- Phone
- (508) 368-3190
- Fax
- (508) 368-3193
- Mailing address
- 630 Plantation St, Worcester, MA 01605-2038
Registered specialties
Vascular Surgery Physician
Primary
Registry record
- NPI
- 1013994755
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Dec 2005
- Record last updated
- 29 Dec 2017
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.