Individual provider · Type 1 NPI

Elizabeth A. Mahanor, MD

Vascular Surgery Physician · Worcester, MA

NPI number 1013994755 Active

Practice location

123 Summer St
Worcester, MA 01608-1312

Call (508) 368-3190 Map

Fax (508) 368-3193

Mailing address

630 Plantation St
Worcester, MA 01605-2038

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X226477 (MA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1013994755

Elizabeth A. Mahanor, MD's National Provider Identifier is 1013994755, issued on Dec 23, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Worcester, MA. The record was last updated on Dec 29, 2017.