Organization · Type 2 NPI

Individual

Public Health or Welfare Agency · Worcester, MA

NPI number 1134534563 Active

About NPI 1134534563

Individual's National Provider Identifier is 1134534563, issued on Jun 24, 2014. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Worcester, MA. The record was last updated on Jun 24, 2014.