NPI 1174847750

Maureen Didonato

Practitioner Specialist Southbridge, MA

Practice location

Address: 486 Worcester St Kennedy Donovan Center, Southbridge, MA 01550-1386
Phone: (508) 765-0292

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1174847750
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2010
Record last updated: 25 Mar 2010

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.