| Path Worcester Professional Group | |
|
1329 Main St Ste 100 Worcester MA 01603-1548 | |
| (508) 556-2002 | |
| Not Available |
| Full Name | Path Worcester Professional Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1329 Main St Ste 100, Worcester, Massachusetts |
| Authorized Official Name and Position | Flora F. Sadri-azarbayejani (PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6153087871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Worcester Professional Group 103 Powell Ct Ste 100 Brentwood TN 37027-5050 Ph: (615) 308-7871 | Path Worcester Professional Group 1329 Main St Ste 100 Worcester MA 01603-1548 Ph: (508) 556-2002 |
| NPI Number | 1457945446 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457945446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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