Individual provider · Type 1 NPI

Javier de Jesus Diaz Collante, MD

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

NPI number 1740983972 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

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 1740983972

Javier de Jesus Diaz Collante, MD's National Provider Identifier is 1740983972, issued on Mar 27, 2023. 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 28, 2023.