Whalio Doctors

NPI 1013994755

Elizabeth a Mahanor, MD

Practitioner Vascular Surgery Physician Worcester, MA

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
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 226477 (MA)

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.