Individual provider · Type 1 NPI

Ethan Trachtenberg

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

NPI number 1699679514 Active

Practice location

1280 Main St
Worcester, MA 01603-1861

Call (508) 754-1141 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.

50 other providers at this address

Other student in an organized health care education/training program providers in Worcester

See all in Worcester →

About NPI 1699679514

Ethan Trachtenberg's National Provider Identifier is 1699679514, issued on Oct 5, 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 Oct 5, 2026.