Individual provider · Type 1 NPI

Colleen Dibara

Surgical Physician Assistant · Worcester, MA

NPI number 1477945368 Active

Practice location

123 Summer St
Worcester, MA 01608-1216

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1477945368

Colleen Dibara's National Provider Identifier is 1477945368, issued on Mar 2, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Worcester, MA. The record was last updated on May 19, 2021.