Individual provider · Type 1 NPI

Alixander Ryan Pupo Wiss, MD

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1285572479 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 856-8989 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285572479

Alixander Ryan Pupo Wiss, MD's National Provider Identifier is 1285572479, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Mar 23, 2026.