| Internal Medicine And Endocrinology, Inc. | |
|
255 Park Ave Suite 210 Worcester MA 01609-1953 | |
| (508) 754-8000 | |
| (508) 752-8286 |
| Full Name | Internal Medicine And Endocrinology, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 255 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | John Paul Lock (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5087548000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Endocrinology, Inc. 255 Park Ave Suite 210 Worcester MA 01609-1953 Ph: (508) 754-8000 | Internal Medicine And Endocrinology, Inc. 255 Park Ave Suite 210 Worcester MA 01609-1953 Ph: (508) 754-8000 |
| NPI Number | 1376709683 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376709683 | NPI | - | NPPES |
| 2055643 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35925 (Massachusetts) | Primary |
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