Organization · Type 2 NPI

Commonwealth Medicine

Public Health or Welfare Agency · Worcester, MA

NPI number 1770142945 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

529 Main St Fl 3
Charlestown, MA 02129-1125

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed
State or Local Public Health Clinic/Center 261QP0905XNone listed

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About NPI 1770142945

Commonwealth Medicine's National Provider Identifier is 1770142945, issued on Jun 11, 2019. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Worcester, MA. The record was last updated on Jun 11, 2019.