Individual provider · Type 1 NPI

Theodore Eric Macnow, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Worcester, MA

NPI number 1760626832 Active

Practice location

55 Lake Ave N, Emergency Medicine Department
Worcester, MA 01655-0002

Fax (774) 442-2510

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X254522 (MA)
Pediatrics Physician 208000000X254522 (MA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1760626832

Theodore Eric Macnow, MD's National Provider Identifier is 1760626832, issued on Apr 20, 2009. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Worcester, MA. The record was last updated on Nov 9, 2020.