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Organization
CENTRAL MASS ALLERGY & ASTHMA CARE
Active
Organization
CENTRAL MASS ALLERGY & ASTHMA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN HAWKINS (PRACTICE MANAGER)
(508) 757-1589
Entity
Organization
Contact information
Practice address
100 MLK JR BLVD, 2ND FLOOR, WORCESTER, MA 01608-1209
(508) 757-1589
(508) 756-5633
Mailing address
100 MLK JR BLVD, 2ND FLOOR, WORCESTER, MA 01608-1209
(508) 757-1589
(508) 756-5633
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028926
NEIGHBORHOOD HEALTH GROUP
MA
01
—
57871
FALLON HEALTH PLAN GROUP
MA
01
—
691549
TUFTS HEALTH PLAN GROUP
MA
05
—
9751688
—
MA
01
—
M17542
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
08/25/2005
Last updated
09/03/2008
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