NPI 1790325165

Gener Alejandro Fajardo Ruiz, SAC

Practitioner Surgical Assistant Worcester, MA

Practice location

Address: 23 County St, Worcester, MA 01604-2403
Phone: (774) 253-2716

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 19-500 (MA)

Other Specialist/Technologist, Other providers in Massachusetts →

Registry record

NPI: 1790325165
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2020
Record last updated: 13 Jan 2020

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.